TW201331366A - In-vitro serum-free culturing method for somatic stem cell proliferation - Google Patents
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本發明係藉由人類脂肪間葉幹細胞的培養,藉由不同血清取代物與細胞激素的添加,及調控其最適的濃度配方,並建立間葉幹細胞功能性的檢測系統,可以建立大量且正確的體外無血清增殖培養系統。The invention can establish a large number of correct and correct cells by culturing human adipose mesenchymal stem cells, by adding different serum substitutes and cytokines, and regulating the optimal concentration formula, and establishing a detection system for mesenchymal stem cell function. In vitro serum-free proliferation culture system.
幹細胞是原始且未特化的細胞,它是未充分分化、具有再生各種組織器官的潛在功能,存在所有多細胞組織裡,能經由有絲分裂與分化來分裂成多種的特化細胞,而且可以利用自我更新來提供更多幹細胞。對哺乳動物來說,幹細胞分為兩大類:胚胎幹細胞與成體幹細胞,胚胎幹細胞取自囊胚裡的內細胞團;而成體幹細胞則來自各式各樣的組織。在成體組織裡,幹細胞與先驅細胞擔任身體的修復系統,補充成體組織。在胚胎發展階段,幹細胞能分化為任何特化細胞,但仍會維持新生組織(像是血液、皮膚或腸組織)的正常轉移。Stem cells are primitive and unspecialized cells that are under-differentiated and have the potential to regenerate various tissues and organs. In all multi-cellular tissues, they can divide into a variety of specialized cells via mitosis and differentiation, and can use self. Updated to provide more stem cells. For mammals, stem cells fall into two broad categories: embryonic stem cells and adult stem cells. Embryonic stem cells are derived from inner cell masses in blastocysts; adult stem cells are derived from a wide variety of tissues. In adult tissues, stem cells and precursor cells serve as body repair systems that complement adult tissues. During the embryonic development phase, stem cells can differentiate into any specialized cells, but still maintain normal metastasis of new tissue (such as blood, skin or intestinal tissue).
1960年代Ernest A. McCulloch與James E. Till在多倫多大學的發現,開啟了研究幹細胞的大門。如今,我們可以用體外培養技術使幹細胞生長或轉變成數種特化細胞,或形成各種特定組織(像是肌肉或神經)的組成細胞。可塑性高的成體幹細胞已常態地運用在醫療上。幹細胞的來源有很多,包括胚胎、臍帶血、骨髓、脂肪與羊水等等。利用胚胎幹細胞成長為具治療性的組織甚至器官,是一個非常新穎且具挑戰性的課題,在良好的CMC產程規範下發展,或許未來會躋身成為新的醫療方式,解決現今器官移植上來源短缺的問題。醫學研究者認為幹細胞研究(也稱為再生醫學)有潛力通過用於修復特定的組織或生長器官,改變人類疾病的應對方法。但是美國政府的國家衛生研究院報告指出,「重要的技術障礙仍然存在,還需要幾年的集中研究才能克服。」The discovery of Ernest A. McCulloch and James E. Till at the University of Toronto in the 1960s opened the door to stem cells. Today, we can use in vitro culture techniques to grow or transform stem cells into several specialized cells, or to form cells that make up specific tissues such as muscles or nerves. Adult stem cells with high plasticity have been used in medical practice. There are many sources of stem cells, including embryos, cord blood, bone marrow, fat and amniotic fluid. The use of embryonic stem cells to grow into therapeutic tissues and even organs is a very novel and challenging subject. It develops under good CMC labor standards and may become a new medical method in the future, solving the shortage of current organ transplantation. The problem. Medical researchers believe that stem cell research (also known as regenerative medicine) has the potential to alter the response to human disease by repairing specific tissues or growing organs. However, the National Institutes of Health report of the US government pointed out that "important technical obstacles still exist and it will take several years of concentrated research to overcome."
幹細胞的來源可分為以下五種類:The sources of stem cells can be divided into the following five categories:
1. 臍帶血幹細胞:1. Cord blood stem cells:
嬰兒出生後殘留在胎盤和臍帶中的血是富含造血幹細胞。自1988年起,臍血幹細胞就用於治療根達綜合症,亨達綜合症,和拉綜合症,急性淋巴細胞性白血病等許多兒童疾病。臍血由臍帶採集;臍帶經過清理消毒後,從臍靜脈取出臍血後,須針對傳染病源和人類白血球表面抗原進行檢驗,再放入液氮凍存備用。在使用的時候首先解凍,再注入病人靜脈。若是使用其他捐贈人幹細胞的治療方法,稱為異體移植;如果幹細胞來自患者本人即為自體移植。The blood remaining in the placenta and umbilical cord after birth is rich in hematopoietic stem cells. Since 1988, cord blood stem cells have been used to treat many childhood diseases such as Jeddah Syndrome, Henda Syndrome, Lara Syndrome, and Acute Lymphocytic Leukemia. Cord blood is collected by the umbilical cord; after the umbilical cord is cleaned and disinfected, the cord blood is taken out from the umbilical vein, and the infectious agent and the human leukocyte surface antigen are tested, and then stored in liquid nitrogen for storage. When used, first thaw and then inject into the patient's vein. If the treatment of other donor stem cells is used, it is called allogeneic transplantation; if the stem cells are from the patient, they are autografted.
2. 周邊血幹細胞:2. Peripheral blood stem cells:
骨髓中存有人體內最主要造血幹細胞的來源,而周邊血幹細胞則是指藉由施打白血球生長激素(G-CSF),將骨髓中的幹細胞驅動至周邊血液中,再經由血液分離機收集取得之幹細胞。此類幹細胞屬於CD34+的造血幹細胞,臨床上常可聽聞用於改善中樞神經系統與心血管方面的疾病,也主要用於治療造血系統退化或是免疫系統不正常的疾病等;而因骨髓移植病人受到的疼痛較大需要全身麻醉,且骨髓移植係移植骨髓中的造血、間質幹細胞和基質前驅細胞等,屬適應症較廣泛或是全身性的遺傳性嚴重併症治療,如果僅針對部分系統性疾病作治療,周邊血幹細胞可用於取代骨髓移植。The bone marrow contains the source of the most important hematopoietic stem cells in the body, while the peripheral blood stem cells refer to the use of white blood cell growth hormone (G-CSF) to drive the stem cells in the bone marrow to the peripheral blood, and then collect them through a blood separator. Stem cells. These stem cells belong to CD34 + hematopoietic stem cells, which are often used clinically to improve central nervous system and cardiovascular diseases. They are also mainly used to treat diseases of hematopoietic system degradation or abnormal immune system. Patients suffering from major pain require general anesthesia, and bone marrow transplantation in the bone marrow of the hematopoietic, mesenchymal stem cells and matrix precursor cells, etc., is a wide range of indications or systemic hereditary serious disease treatment, if only for the part For systemic diseases, peripheral blood stem cells can be used to replace bone marrow transplants.
3. 胚胎幹細胞:3. Embryonic stem cells:
胚胎幹細胞是從囊胚(由50-100個細胞組成的早期胚胎)未分化的內部細胞團中取得,屬於近全能幹細胞,有三胚層的分化能力,表現高端粒酶活性,可以在體外培養兩年以上的時間仍可維持自我更新的能力。胚胎幹細胞現在的研究現在仍處於剛起步的階段。許多研究仍建立在人類以外之動物模式,例如老鼠、牛或是羊等,截至2011年,在美國臨床試驗官方註冊有一項人體試驗正在進行中。胚胎幹細胞由於效價高,所以臨床使用上的方法與適應症需要更嚴謹的實驗證實,另外,由於人類的胚胎幹細胞取得來源涉及道德倫理上的約束,在幹細胞株的建立上有所爭議。(因為幹細胞株必須取得人類胚胎,在經過培養純化等。因此許多人認為幹細胞株視同為人的一部份)。Embryonic stem cells are obtained from undifferentiated internal cell masses of blastocysts (early embryos consisting of 50-100 cells), belonging to near-omnipotent stem cells, having the ability to differentiate into three germ layers, exhibiting high-end granzyme activity and can be cultured in vitro for two years. The above time can still maintain the ability to self-update. The current research on embryonic stem cells is still in its infancy. Many studies are still based on animal models other than humans, such as mice, cattle or sheep. As of 2011, a human trial is officially registered in the US clinical trials. Because of the high titer of embryonic stem cells, the methods and indications for clinical use need to be confirmed by more rigorous experiments. In addition, since the source of human embryonic stem cells involves moral and ethical constraints, the establishment of stem cell lines is controversial. (Because stem cell lines must acquire human embryos, they are purified by culture, etc. Therefore, many people think that stem cell lines are considered part of humans).
4. 脂肪幹細胞:4. Adipose stem cells:
以往人們因塑身而抽出的脂肪,通常是作為醫療廢棄物處置,現經由醫學專家研究證實,脂肪中含有大量的間質幹細胞,間質幹細胞具有體外增生及多重分化的潛力,可運用於組織與器官的再生與修復。In the past, the fat extracted by people for body sculpting was usually disposed of as medical waste. It has been confirmed by medical experts that fat contains a large number of mesenchymal stem cells. The mesenchymal stem cells have the potential for in vitro proliferation and multiple differentiation, which can be applied to tissues and tissues. Regeneration and repair of organs.
其主要特性為:Its main features are:
(1)、取得方式侵入性低,對人體無害。(1) The acquisition method is low invasive and harmless to the human body.
(2)、容易大量的取得。(2) It is easy to obtain a large amount.
(3)、可進行體外增生培養。(3), can be cultured in vitro.
(4)、可運用於身體之組織類型廣泛,輸入體內後能自動移至創傷部位,進行修補。(4) It can be applied to the body with a wide range of tissues. After entering the body, it can be automatically moved to the wound site for repair.
5. 皮膚細胞:5. Skin cells:
在2007年末,美國和日本兩組科學家同時成功把皮膚細胞轉化成一種可誘導萬能幹細胞(induced pluripotent stem cells,iPS),並成功使這些幹細胞轉化成為身體器官的一部份。透過向皮膚細胞植入特定的基因,可誘導皮膚細胞改造,變成類似胚胎幹細胞的一種細胞。At the end of 2007, scientists from both the United States and Japan successfully transformed skin cells into an induced pluripotent stem cell (iPS) and successfully transformed these stem cells into parts of the body's organs. By implanting specific genes into skin cells, skin cells can be transformed into cells that resemble embryonic stem cells.
脂肪組織中富含許多具有再生能力的基質細胞、前趨細胞與間質幹細胞。吾人可經由抽脂或是切脂取得自體的脂肪組織,經體外分離與培養可得純化之脂肪幹細胞,故相較於其他的成體幹細胞,脂肪幹細胞具有取得容易的優點。脂肪組織經體外分離可得基質血管細胞群(stromal vascular fraction,SVF),為基質細胞、血液細胞、血管內皮細胞與脂肪幹細胞等共同組合而成。其中含有CD34+的造血幹細胞、CD31+的內皮細胞、CD45+的免疫細胞、還有CD105+的間質幹細胞等,這些不同的細胞群,在人體中均各司其職,扮演著重要的角色。脂肪幹細胞在其中為一具有間質幹細胞特性,但細胞趨性略有不同的幹細胞群,科學家早期可藉由檢驗CD34、CD105、CD73、CD44和CD90等細胞表面抗原來判定其是否為幹細胞。在細胞的應用及治療方面,各種細胞與脂肪幹細胞之間的合作,對於疾病的治療是重要的關鍵。Adipose tissue is rich in many stromal cells, progenitor cells and mesenchymal stem cells with regenerative capacity. We can obtain autologous adipose tissue through liposuction or liposuction. Purified adipose stem cells can be obtained by in vitro isolation and culture. Therefore, compared with other adult stem cells, adipose stem cells have the advantage of being easy. Adipose tissue can be isolated in vitro to obtain a stromal vascular fraction (SVF), which is a combination of stromal cells, blood cells, vascular endothelial cells and adipose stem cells. These include CD34 + hematopoietic stem cells, CD31 + endothelial cells, CD45 + immune cells, and CD105 + mesenchymal stem cells. These different cell populations play their part in the human body and play an important role. . Adipose-derived stem cells are a group of stem cells with mesenchymal stem cell characteristics but slightly different cell tropism. Scientists can determine whether they are stem cells by examining cell surface antigens such as CD34, CD105, CD73, CD44 and CD90. In the application and treatment of cells, the cooperation between various cells and adipose stem cells is an important key to the treatment of diseases.
基質血管細胞群經體外培養純化後,其細胞經特性鑑定分析稱為脂肪幹細胞(或脂肪基質細胞)。脂肪基質細胞在體外培養時屬於貼附型細胞,且因脂肪基質細胞為具有多潛能(multipotency)之幹細胞,具有跨胚層之分化能力,故在體外放大培養時,維持其細胞不分化的狀態(undifferentiated state)十分重要,換句話說,就是維持幹細胞自我更新(self renew)的能力。利用細胞型態的觀察、細胞抗原標記染色、幹細胞基因表現等,可以判斷幹細胞之生長狀態。脂肪幹細胞生長有屬於自己適合生長的微環境(microenvironment),科學上也常稱作Niche,譬如說脂肪幹細胞屬於貼附型細胞,在培養環境之胞外基質中就需要含有屬於脂肪幹細胞特有integrin的ligands,這些ligands屬於一些胞外基質(extracellular matrix),具有幫助細胞附著、爬行的功能。在體外培養時除了胞外基質,培養基、培養基添加物與共同培養的材料、結構、空間等都是影響細胞自我更新之重要因素,在放大培養時,維持細胞最原始與最貼近初代細胞(primary cell)的相同性(identity)就是維持幹細胞自我更新的能力。After the stromal vascular cell population is purified in vitro, the cells are characterized by a characteristic analysis called adipose stem cells (or adipose stromal cells). Adipose stromal cells belong to adherent cells when cultured in vitro, and since adipose stromal cells are stem cells with multipotency and have the ability to differentiate across germ layers, they maintain their cells in a state of non-differentiation when expanded in vitro ( Undifferentiated state) is very important, in other words, the ability to maintain self-renewal of stem cells. The growth state of stem cells can be judged by observation of cell type, cell antigen labeling, and stem cell gene expression. Adipose-derived stem cells grow in their own microenvironment, which is also known as Niche in science. For example, adipose-derived stem cells belong to adherent cells, and in the extracellular matrix of culture environment, it is necessary to contain integrins specific to adipose stem cells. Ligands, these ligands belong to some extracellular matrix, which has the function of helping cells to attach and crawl. In addition to the extracellular matrix in culture, the medium, medium supplement and co-cultured materials, structure, space, etc. are all important factors affecting cell self-renewal. When the culture is enlarged, the cells are kept the most primitive and closest to the primary cells (primary The identity of cell is the ability to maintain stem cell self-renewal.
幹細胞的用途Use of stem cells
幹細胞(Stem cell)即起源細胞;在細胞的分化過程中,細胞往往由於高度分化而完全失去了再分裂的能力,最終衰老死亡。生物體在發展適應過程中為了彌補此一不足,保留了一部分未分化的原始細胞。幹細胞是一類具有自我更新和分化潛能的細胞,學者相信有應用於治療遺傳性疾病、惡性腫瘤和其他種慢性病等;以幹細胞為種子培育成組織和器官,可用於移植及抗衰老醫學及延長人類的壽命和生活品質。Stem cell is the origin cell; in the process of cell differentiation, cells often lose the ability to re-divide due to high differentiation, and eventually die. In order to make up for this deficiency, the organism retains a part of undifferentiated primitive cells in the process of development and adaptation. Stem cells are a kind of cells with self-renewal and differentiation potential. Scholars believe that they can be used to treat hereditary diseases, malignant tumors and other chronic diseases. Stem cells are used to grow into tissues and organs. They can be used for transplantation and anti-aging medicine and prolong humanity. Life and quality of life.
幹細胞移植治療技術,被譽為人類有史以來的最飛躍式醫療手段,實現人體各個器官修復和更新,能消除目前80%以上的各類疾病。Stem cell transplantation treatment technology is known as the most leaping medical treatment in human history. It can repair and renew various organs of the human body and can eliminate more than 80% of various diseases.
利用成體幹細胞進行治療的困難,在於並非所有的組織器官皆能分離出幹細胞,且數量很少;若以其他器官分離出來的幹細胞發育成特定的組織細胞,其移植和功能性皆低於原器官分離出的幹細胞。經由體外培養的幹細胞,其特性可能會在培養過程中改變,因而有體外研究結果與臨床應用於人體的實際狀況有所差異的情形發生。若是要由患者本身分離幹細胞來進行治療,其幹細胞也可能有發病的潛在因子,若進行移植配對來尋找捐贈者又很耗時。研究上,成體幹細胞分化的功能尚未完全釐清,應用於治療上仍可能有風險存在。The difficulty in treatment with adult stem cells is that not all tissues and organs can separate stem cells, and the number is small; if stem cells isolated from other organs develop into specific tissue cells, their transplantation and functionality are lower than the original. Stem cells isolated from organs. The characteristics of stem cells cultured in vitro may change during the culture process, and thus there are cases where the results of in vitro studies differ from the actual conditions applied to the human body in clinical practice. If the patient is to be separated from the stem cells for treatment, the stem cells may also have potential factors for the disease, and it is time consuming to perform transplant pairing to find the donor. In research, the function of adult stem cell differentiation has not been fully clarified, and there may still be risks in the treatment.
傳統用於體外大量培養幹細胞的技術是使用血清來做為培養基的添加物,血清在細胞培養中提供細胞生長所需的各種成分,例如賀爾蒙、生長因子及結合蛋白等。然而使用血清也同時潛在著細菌、黴漿菌或病毒等病源污染的危險,加上血清的成本昂貴、批次變異性大且會干擾產物後續的回收純化。因此,針對人類脂肪間葉幹細胞的培養,藉由不同血清取代物與細胞激素的添加,及調控其最適的濃度配方,並建立間葉幹細胞功能性的檢測系統,可以建立大量且正確的體外無血清增殖培養系統。A technique conventionally used for large-scale cultivation of stem cells in vitro is to use serum as an additive for a medium which provides various components required for cell growth in cell culture, such as hormones, growth factors, and binding proteins. However, the use of serum also has the potential to be contaminated by pathogens such as bacteria, mycoplasma or viruses, plus the high cost of the serum, large batch variability and interference with subsequent recovery and purification of the product. Therefore, for the culture of human adipose mesenchymal stem cells, by adding different serum substitutes and cytokines, and regulating their optimal concentration formula, and establishing a detection system for mesenchymal stem cell function, a large number of correct in vitro can be established. Serum proliferation culture system.
是以,本案發明人鑑於上述,以及的可能性,乃亟思加以改良創新,並經多年苦心孤詣潛心研究後,終於成功研發完成本件體外無血清成體幹細胞放大培養技術。Therefore, in view of the above, as well as the possibility, the inventor of the present invention has improved and innovated, and after years of painstaking research, finally succeeded in research and development of this in vitro serum-free adult stem cell amplification culture technology.
本發明之主要目的在於提供不同血清取代物與細胞激素的添加,及調控其最適的濃度配方,並建立間葉幹細胞功能性的檢測系統,可以建立大量且正確的體外無血清增殖培養系統。The main object of the present invention is to provide different serum substitutes and cytokines, and to regulate the optimal concentration formula, and to establish a detection system for mesenchymal stem cell function, and to establish a large number of correct in vitro serum-free proliferation culture systems.
本發明之次要目的為提供一種體外無血清成體幹細胞放大培養之方法,該方法包含下列步驟:步驟一:提供一人體組織;步驟二:以酵素水解步驟一所得之組織,並以離心方式將未水解之組織與人類成體幹細胞予以分離;步驟三:將步驟二所得人類成體幹細胞於含有自體生長因子(PRGF)之無血清幹細胞培養液中進行初代培養;步驟四:取出步驟三中初代培養液中之黏貼型細胞,於含有自體生長因子之無血清幹細胞培養液進行繼代培養,以完成人類成體幹細胞放大培養。A secondary object of the present invention is to provide a method for amplifying culture of serum-free adult stem cells in vitro, which comprises the following steps: Step 1: providing a human tissue; Step 2: hydrolyzing the tissue obtained in step one by centrifugation The unhydrolyzed tissue is separated from the human adult stem cells; Step 3: The human adult stem cells obtained in the second step are subjected to primary culture in a serum-free stem cell culture medium containing autologous growth factor (PRGF); Step 4: Take out step 3 The adherent cells in the primary culture medium are subcultured in a serum-free stem cell culture medium containing autologous growth factors to complete the expansion of human adult stem cells.
其中該人體組織係選自於臍帶、骨髓、胎盤、脂肪、血液及乳牙所組成的群組。The human tissue is selected from the group consisting of umbilical cord, bone marrow, placenta, fat, blood, and deciduous teeth.
其中用以水解人體組織之酵素為胰蛋白分解酵素或膠原蛋白分解酵素。The enzyme for hydrolyzing human tissue is trypsin or collagen decomposing enzyme.
其中該初代培養之步驟係進行3至15日。The primary culture step is carried out for 3 to 15 days.
其中該含有自體生長因子之無血清幹細胞培養液,係添加分離自自體血液之自體生長因子(PRGF)於無血清幹細胞培養液中;該自體生長因子添加於無血清幹細胞培養液的比例為0.1~10%(體積比)。The serum-free stem cell culture solution containing the autologous growth factor is added to autologous growth factor (PRGF) isolated from autologous blood in a serum-free stem cell culture solution; the autologous growth factor is added to the serum-free stem cell culture solution. The ratio is 0.1 to 10% (volume ratio).
其中該步驟更包含:以流式細胞儀確認初代培養及繼代培養之人類成體幹細胞之表面抗原標記特徵。The step further comprises: confirming the surface antigen labeling characteristics of the primary cultured and subcultured human adult stem cells by flow cytometry.
其中經過繼代培養後之人類成體幹細胞仍保持在實質未分化的狀態。Among them, human adult stem cells after subculture are still in a state of being substantially undifferentiated.
本發明之目的為提供一種培養人類成體幹細胞之無血清成體幹細胞培養液,其係包含一自體生長因子及無血清幹細胞培養液所製得者。It is an object of the present invention to provide a serum-free adult stem cell culture solution for culturing human adult stem cells, which comprises an autologous growth factor and a serum-free stem cell culture solution.
其中該含有自體生長因子之無血清培養液,係添加分離自自體血液之自體生長因子(PRGF)於成體幹細胞培養液中;該自體生長因子添加於成體幹細胞培養液的比例為0.1~10%(體積比)。Wherein the serum-free medium containing the autologous growth factor is added with autologous growth factor (PRGF) isolated from autologous blood in an adult stem cell culture solution; the proportion of the autologous growth factor added to the adult stem cell culture solution It is 0.1 to 10% by volume.
其中該自體生長因子(PRGF)是由人類自體血液分離純化後所獲得者。The autologous growth factor (PRGF) is obtained after separation and purification from human autologous blood.
其係用以進行人類成體幹細胞之初代培養及繼代培養。It is used for primary culture and subculture of human adult stem cells.
其中該人類成體幹細胞係選自於臍帶血幹細胞、骨髓幹細胞、胎盤幹細胞、脂肪間葉幹細胞、人類血液細胞及乳牙幹細胞所組成的群組。The human adult stem cell line is selected from the group consisting of cord blood stem cells, bone marrow stem cells, placental stem cells, adipose mesenchymal stem cells, human blood cells, and deciduous stem cells.
其中經過繼代培養後之人類成體幹細胞仍保持在實質未分化的狀態。Among them, human adult stem cells after subculture are still in a state of being substantially undifferentiated.
本發明係以下面的實施例予以示範闡明,但本發明不受下述實施例所限制。The present invention is exemplified by the following examples, but the present invention is not limited by the following examples.
以下實施方式係利用脂肪組織分離而得基質血管細胞群,再進一步經培養而得脂肪幹細胞(脂肪基質細胞),來對本發明作進一步說明。In the following embodiments, the stromal vascular cell population is isolated by adipose tissue, and further subjected to culture to obtain adipose stem cells (fatty stromal cells), and the present invention will be further described.
經手術取得之脂肪組織,以離心方式1000 RCF、10分鐘離心去除血水、大塊的結締組織等雜質留下純脂肪組織層,隨後加入適量之磷酸緩衝液與膠原蛋白酶酵素作用,酵素於37℃恆溫箱中震盪作用45分鐘,其後加入磷酸緩衝液沖洗,以500 RCF、離心5分鐘小心去除上清液,留下底下的基質血管細胞群團塊,重覆清洗三次後,接種至含無血清培養基的T型角瓶中培養,待1~3天後,將未貼附之細胞移去,T型角瓶已貼附之梭狀細胞即為脂肪幹細胞。此細胞持續以無血清培養基培養放大,作為特性分析之用。The adipose tissue obtained by surgery was centrifuged to 1000 RCF, centrifuged for 10 minutes to remove blood water, large connective tissue and other impurities to leave a layer of pure adipose tissue, followed by adding an appropriate amount of phosphate buffer solution and collagenase to activate at 37 ° C. The incubator was shaken for 45 minutes in the incubator, then rinsed with phosphate buffer, carefully removed at 500 RCF, centrifuged for 5 minutes, leaving the stromal vascular cell mass underneath, repeatedly washed three times, inoculated to contain no The serum medium is cultured in a T-shaped flask, and after 1 to 3 days, the unattached cells are removed, and the spindle cells to which the T-shaped bottle has been attached are the adipose stem cells. This cell was continuously cultured in serum-free medium for characterization.
脂肪幹細胞培養上採用不含血清之MesenCult-XF Basal Medium(Stem Cell Technology),添加20%的MesenCult-XF Supplement(Stem Cell Technology)、及2 mM L-glutamine(GIBCO)及抗生素50 μg/ml gentamicin(GIBCO)作為長期培養基。T型角瓶接種細胞前預先以MesenCult-XF Artachment Substrate(Stem Cell Technology)處理,以利細胞進行貼附。待細胞貼附後持續培養於37℃,5% CO2之培養箱,當細胞密度長至八成滿時,將細胞進行繼代。吸取出培養基,以磷酸緩衝溶液清洗細胞後,加入MesenCult Enzymatic Dissociation Solution(Stem Cell Technology),於37℃中作用5分鐘使細胞去貼附,之後加入等量MesenCult Enzymatic Inhibition Solution(Stem Cell Technology)終止酵素作用,收集細胞,利用hemacytometer計算細胞數目後,將細胞重新接種於新的T型角瓶,持續培養放大,至細胞長至7分滿以上時以同樣方式再次繼代,大約每四天繼代一次,在有添加PRGF的培養組別上,將PRGF在繼代或是接種時直接加入無血清培養基中,PRGF的添加量為100μl的PRGF加到10ml的無血清培養基中,每ml的無血清培養基中內含2×105到1×106個血小板所釋放出之生長因子,如遇有繼代中更換培養基,則依比例再加入PRGF。Serum-free MesenCult for adipose stem cell culture -XF Basal Medium (Stem Cell Technology), adding 20% MesenCult -XF Supplement (Stem Cell Technology), and 2 mM L-glutamine (GIBCO) and antibiotic 50 μg/ml gentamicin (GIBCO) as long-term medium. T-shaped flasks are pre-exposed with MesenCult before inoculation of cells -XF Artachment Substrate (Stem Cell Technology) treatment for cell attachment. After the cells were attached, the cells were cultured at 37 ° C in a 5% CO 2 incubator. When the cell density was as long as 80%, the cells were subcultured. Aspirate the medium, wash the cells with phosphate buffer solution, and add MesenCult Enzymatic Dissociation Solution (Stem Cell Technology), which is applied at 37 ° C for 5 minutes to attach the cells, then add the same amount of MesenCult Enzymatic Inhibition Solution (Stem Cell Technology) terminates the enzyme action, collects the cells, uses the hemacytometer to calculate the number of cells, re-inoculates the cells into new T-shaped flasks, and continues to culture until the cells grow to 7 minutes or more in the same way. Subculture again, once every four days, in the culture group with added PRGF, PRGF was directly added to the serum-free medium during the subculture or inoculation, and the amount of PRGF added was 100 μl of PRGF added to 10 ml. In the serum-free medium, the growth factor released by 2 × 10 5 to 1 × 10 6 platelets per ml of the serum-free medium is added to the PRGF in proportion to the replacement medium in the passage.
準備CPT(BD REF 362761)迷彩藍頭管採血,CPT管內含有抗凝血劑、Ficoll與一層固體膠,每支約可收集8 ml血液。分離時,以1700 RCF於室溫下離心20分鐘,離心完後,血液在CPT管內分四層,從上到下分別為血漿層(plasma)、血小板層(platelet rich plasma,PRP)、固體膠層含Ficoll、紅血球層(Red blood cell);將上層之血漿層吸出放入新的50 ml離心管中,將白色的PRP層吸出放入新的15 ml離心管中。依照比例(血漿層對血小板層體積之比為1:2.5)吸取適量血漿加入另外一個新的15毫升離心管中,之後加入依比例計算出之葡萄糖酸鈣(葡萄糖酸鈣對血漿之體積比為0.3:1),置於37℃中反應15分鐘,以700 RCF室溫離心10分鐘。取其離心後上清液加入PRP中充分混合,置於37℃中反應40分鐘,即完成PRGF製備。Prepare CPT (BD REF 362761) camouflage blue tube for blood collection. The CPT tube contains anticoagulant, Ficoll and a layer of solid glue. Each tube can collect about 8 ml of blood. When separating, centrifuge at 1700 RCF for 20 minutes at room temperature. After centrifugation, the blood is divided into four layers in the CPT tube. From top to bottom, the plasma, platelet rich plasma (PRP), solid The gel layer contains Ficoll and red blood cells; the upper plasma layer is aspirated into a new 50 ml centrifuge tube, and the white PRP layer is aspirated into a new 15 ml centrifuge tube. According to the ratio (the ratio of plasma layer to platelet layer volume is 1:2.5), add appropriate amount of plasma to another new 15 ml centrifuge tube, and then add the proportionally calculated calcium gluconate (calcium gluconate to plasma volume ratio is 0.3:1), placed at 37 ° C for 15 minutes, centrifuged at 700 RCF for 10 minutes at room temperature. After the centrifugation, the supernatant was added to the PRP and thoroughly mixed, and the reaction was carried out at 37 ° C for 40 minutes to complete the preparation of PRGF.
以Flow cytometry定量PRP中血小板之數量,將50 μl之PRP與50 μl之血漿加入磷酸緩衝液中,再加入anti-CD41-PE抗體染色,免疫染色結束,加入Count Bright Beads(Invitrogen)當作計數之參考數值,再加入磷酸緩衝溶液將總體積補到約0.5 ml後上機分析(FACS Calibur 3 color,BD)。分析結果套入下列公式即可算出PRP與血漿中的血小板含量。Flow cytometry was used to quantify the number of platelets in PRP. 50 μl of PRP and 50 μl of plasma were added to phosphate buffer, and anti-CD41-PE antibody was added for staining. The immunostaining was completed and Count Bright Beads (Invitrogen) was added for counting. The reference value was added to the phosphate buffer solution to make up the total volume to about 0.5 ml and then analyzed by FACS Calibur 3 color (BD). The results of the analysis can be calculated by inserting the following formula to calculate the platelet content of PRP and plasma.
=樣品中血小板的濃度/μl) = concentration of platelets in the sample / μl)
其中A=血小板的數量;B=beads的數量;C=beads使用批號中每50 μl含有的數量;D=樣品的體積(μl)Where A = number of platelets; B = number of beads; C = beads used for each 50 μl of the batch number; D = volume of the sample (μl)
本研究所得之幹細胞,以流式細胞儀(Flow Cytometry,BD FACScalibur)進行細胞表面抗原之測定。將細胞去附著並以磷酸緩衝液清洗後,回溶於適量之磷酸緩衝液中,分別對不同的抗原以相對應的免疫螢光抗體進行染色,包括IgG、CD34、CD45、CD44、CD73、CD90、HL-ADR等。避光於室下溫染色15分鐘後,加入適量磷酸緩衝液後上機分析,經流式細胞儀收集數據後,以CELL QuestTM(BD)軟體進行分析。The stem cells obtained in the present study were subjected to measurement of cell surface antigen by flow cytometry (Flow Cytometry, BD FACScalibur). After detaching the cells and washing them with phosphate buffer, they are dissolved in a suitable amount of phosphate buffer, and the different antigens are stained with corresponding immunofluorescent antibodies, including IgG, CD34, CD45, CD44, CD73, CD90. , HL-ADR, etc. After temperature in the dark for 15 min at room after the addition of an appropriate amount of phosphate buffer mechanical analysis, data collected by flow cytometry, to CELL Quest TM (BD) analysis software.
骨母細胞(Osteoblast)分化中,將所得之脂肪幹細胞以3000 cells/cm2培養於Dulbecco's Modified Eagle Medium(DMEM high glucose,GIBCO)添加10 mM β-glycerophosphate(Sigma)、0.1 M Dexamethasone(Sigma)、0.2 mM Ascorbic acid(Sigma)、10%(v/v)胎牛血清(Hyclone)的硬骨誘導培養基,每三天更換一次培養基。脂肪細胞(Adipocyte)分化中,將所得之脂肪幹細胞以10000 cells/cm2培養於DMEM添加0.5 mM 3-Isobutyl-1-methylxanthine(IBMX,Sigma)、10 μg/mL Insulin(Sigma)、100 μM Indomethacin(Sigma)、1 μM Dexamethasone(Sigma)、10%(v/v)胎牛血清(Hyclone)的脂肪誘導培養基,每三天更換一次培養基。In the osteoblast (Osteoblast) differentiation, the obtained adipose stem cells were cultured at 3000 cells/cm 2 in Dulbecco's Modified Eagle Medium (DMEM high glucose, GIBCO), 10 mM β-glycerophosphate (Sigma), 0.1 M Dexamethasone (Sigma), 0.2 mM Ascorbic acid (Sigma), 10% (v/v) fetal bovine serum (Hyclone) hard bone induction medium, medium changed every three days. In the differentiation of adipocyte, the obtained adipose stem cells were cultured in DMEM at 10000 cells/cm 2 and added with 0.5 mM 3-Isobutyl-1-methylxanthine (IBMX, Sigma), 10 μg/mL Insulin (Sigma), 100 μM Indomethacin ( Sigma), 1 μM Dexamethasone (Sigma), 10% (v/v) fetal bovine serum (Hyclone) fat-inducing medium, medium changed every three days.
分化的脂肪細胞以鹼性磷酸酶(Alkaline phosphatase,ALP)進行染色,先將Fast Blue RR Salt solution與AS-MX phosphate Alkaline solution以24:1比例混合置於25℃並避光;將分化培養基吸除,以磷酸緩衝液沖洗後;以citrate buffered acetone固定30秒,再以二次水浸潤45秒;然後將先前之混合液加入培養瓶中,置於37℃下避光60分鐘後吸除,以二次水浸潤2分鐘後,再以hematoxylin solution(Sigma)染細胞核1分鐘;以二次水持續沖洗,直到二次水轉變為淡藍色後再以顯微鏡觀察。分化的骨母細胞以Oil red-O進行染色,將分化培養基吸除,以磷酸緩衝液沖洗,以3.7% paraformaldehyde in PBS/pH7.4將細胞於室溫下固定15分鐘後,以二次水沖洗,以Oil Red O(Sigma)染色10分鐘後,以50% ethanol浸潤,並以二次水沖洗;再以hematoxylin solution(Sigma)染細胞核1分鐘;以二次水持續沖洗,直到二次水轉變為淡藍色後再以顯微鏡觀察。The differentiated adipocytes were stained with Alkaline phosphatase (ALP), and the Fast Blue RR Salt solution was first mixed with AS-MX phosphate Alkaline solution at a ratio of 24:1 at 25 ° C and protected from light; After rinsing with phosphate buffer; fixed with citrate buffered acetone for 30 seconds, and then infiltrated with secondary water for 45 seconds; then the previous mixture was added to the flask, and stored at 37 ° C for 60 minutes, then removed. After infiltration for 2 minutes with secondary water, the nuclei were stained with hematoxylin solution (Sigma) for 1 minute; the washing was continued with secondary water until the secondary water turned pale blue and then observed under a microscope. The differentiated osteoblasts were stained with Oil red-O, the differentiation medium was aspirated, washed with phosphate buffer, and the cells were fixed at room temperature for 15 minutes with 3.7% paraformaldehyde in PBS/pH 7.4, followed by secondary water. Rinse, stain with Oil Red O (Sigma) for 10 minutes, infiltrate with 50% ethanol, and rinse with secondary water; then stain the nucleus with hematoxylin solution (Sigma) for 1 minute; continue to rinse with secondary water until secondary water After changing to light blue, observe it with a microscope.
本研究所得之脂肪幹細胞,以反轉錄-鏈鎖酶連鎖聚合反應(RT-PCR)來分析未分化幹細胞之相關基因的表現。將培養出之細胞以磷酸緩衝液清洗後,收集在1.5 ml eppendorf中,加入1 ml TriZol(10296-010,Invitrogen)試劑,於室溫放置五分鐘,加入100 μl BCP(BP. 151,MRC)溶液,以Vortex混勻至成粉紅色溶液後,室溫放置15分鐘,再以15,000 g離心15分鐘在4℃。離心完後,eppendorf內會分三層,下層是紅色層,中間一層薄薄的白色層,上層是透明層,將上層吸出放入新的1.5 ml eppendorf中,吸取過程中要小心不要吸到另外兩層。於新的eppendorf中加入0.5 ml isopropanol,搖勻後,室溫放置30分鐘,之後再以15,000 g離心10分鐘在4℃,將上清液抽出,不要吸到pellet,加入1 ml 75% ethanol清洗,再以15,000 g離心10分鐘在4℃,抽掉ethanol後,空氣乾燥10分鐘,以含有DEPC的水回溶後即完成RNA萃取。吸取適量RNA,加入NCode cDNA synthesis Kit(A11193-050,Invitrogen),以PCR machine完成RT後加入GoTaq Green Master Mix(M7122,Promega)跑PCR,PCR設定條件因不同Primer之不同Tm值而略有調整。分析跟幹細胞相關未分化之相關基因,像是oct4,nanog,sox2,cMyc,Lin28,hTERT等,本專利分析oct4,sox2,klf4,nanog,utf1,hTERT和控制組基因GAPDH。分析各基因所使用之primer如下表所列:The adipose stem cells obtained in this study were analyzed by reverse transcription-chainase-chain polymerization (RT-PCR) for the expression of genes related to undifferentiated stem cells. The cultured cells were washed with phosphate buffer, collected in 1.5 ml eppendorf, and added with 1 ml of TriZol (10296-010, Invitrogen) reagent for 5 minutes at room temperature, and 100 μl of BCP (BP. 151, MRC) was added. The solution was mixed with Vortex until it became a pink solution, allowed to stand at room temperature for 15 minutes, and then centrifuged at 15,000 g for 15 minutes at 4 °C. After centrifugation, the eppendorf will be divided into three layers, the lower layer is a red layer, the middle layer is a thin white layer, and the upper layer is a transparent layer. The upper layer is sucked out into a new 1.5 ml eppendorf. Be careful not to suck in the suction process. Two floors. Add 0.5 ml of isopropanol to the new eppendorf, shake well, leave it at room temperature for 30 minutes, then centrifuge at 15,000 g for 10 minutes at 4 °C, remove the supernatant, do not suck the pellet, add 1 ml of 75% ethanol. After centrifugation at 15,000 g for 10 minutes at 4 ° C, the ethanol was withdrawn, air dried for 10 minutes, and RNA extraction was completed after reconstitution with water containing DEPC. Aspirate the appropriate amount of RNA, add NCode cDNA synthesis Kit (A11193-050, Invitrogen), add RT to the PCR machine and add GoTaq Green Master Mix (M7122, Promega) to run PCR. The PCR setting conditions are slightly adjusted due to the different Tm values of different Primers. . Analysis of undifferentiated genes associated with stem cells, such as oct4, nanog, sox2, cMyc, Lin28, hTERT, etc. This patent analyzes oct4, sox2, klf4, nanog, utf1, hTERT and the control group gene GAPDH. The primers used to analyze each gene are listed in the following table:
本發明用以研究之臨床人類檢體共四例,分別以編號BN456812、BN262813、BN726415、BN998619稱之。The clinical human samples used in the present invention are a total of four cases, which are referred to as numbers BN456812, BN262813, BN726415, and BN998619, respectively.
所分離之基質血管細胞群進一步培養成脂肪幹細胞,培養與繼代記錄如後所述。The isolated stromal vascular cell population is further cultured into adipose stem cells, and the culture and subculture are described later.
脂肪幹細胞以無血清培養基培養,方法如上述;在培養過程中,依照PRP之定量結果,於每毫升培養基中添加相當於1x107血小板分離所得之PRGF,比較有無添加PRGF之細胞生長曲線及細胞定性結果。。本發明之細胞無血清培養收得細胞數記錄如下表所列:The adipose-derived stem cells are cultured in a serum-free medium by the method described above. In the culture process, according to the quantitative result of PRP, PRGF equivalent to 1×10 7 platelet separation is added per ml of the culture medium, and the growth curve and cell characterization of the cells with or without added PRGF are compared. result. . The cell count of the cells of the present invention collected in serum-free culture is listed in the following table:
將上表之實驗數據畫成細胞生長圖(如圖一),可以明顯看出有添加PRGF之細胞培養組,相較於沒有添加的組別,細胞生長較快。細胞在早期代數生長時(P0~P1),因細胞較年輕,容易維持自我更新,兩組間在細胞數上沒有顯著差異;然而,隨著繼代,細胞漸趨老化後,因為PRGF中富含生長因子,推測可以幫助幹細胞訊息傳遞啟動,維持幹細胞自我更新的能力,所以生長速率仍可維持。The experimental data of the above table is plotted as a cell growth map (Fig. 1). It can be clearly seen that the cell culture group with the addition of PRGF has a faster cell growth than the group without the addition. When the cells grew in early algebra (P0~P1), because the cells were younger, they were easy to maintain self-renewal. There was no significant difference in the number of cells between the two groups; however, with the passage, the cells gradually became aging, because the PRGF was rich. Containing growth factors, it is speculated that it can help stem cell signaling to initiate and maintain the ability of stem cells to self-renew, so the growth rate can still be maintained.
若將細胞數換算成細胞放大倍率(表二),更可以清楚的看到,到第二代時,細胞數已經差到兩倍以上;到第3代,細胞數在有添加跟沒添加PRGF得組別有顯著的差異(如圖二);幹細胞在維持不分化生長時,需要自分泌(autocrine)和旁分泌(paracrine)彼此作用,調控訊息傳遞的進行;細胞在無血清的培養環境下,容易改變原有的特性,因為無血清培養環境不像血清可以提供很多生長必須的生長因子與細胞激素,甚至還有些微量礦物元素等,若長期培養在這樣惡劣的環境下,細胞會失去原有在生理環境下的一致性(identity);PRGF的功用即在於供給許多種類的自體生長因子與細胞激素,或是一些微量化學物質等,這些東西對於幫助脂肪幹細胞旁分泌訊息傳遞是不可或缺的,對於長時間體外維持一致性(long-term maintenance),幹細胞訊息傳遞(stemness signaling pathway)的進行與交互影響十分重要。If the number of cells is converted to cell magnification (Table 2), it can be clearly seen that by the second generation, the number of cells has been more than doubled; to the third generation, the number of cells is added with or without added PRGF. There are significant differences in the group (Figure 2); stem cells need autocrine and paracrine to regulate the transmission of signals while maintaining undifferentiated growth; cells in a serum-free culture environment It is easy to change the original characteristics, because serum-free culture environment does not provide many growth factors and cytokines necessary for growth, and even trace mineral elements. If long-term culture is in such a harsh environment, cells will lose their originality. There is identity in a physiological environment; the function of PRGF is to supply many kinds of autologous growth factors and cytokines, or some trace chemicals, which are not suitable for helping the secretion of paracrine secretions of adipose stem cells. Lack of long-term maintenance, stemness signaling pathway A very important influence.
脂肪幹細胞在體外培養時,可以藉由型態觀察判斷細胞的狀態,從脂肪幹細胞型態了解其生長狀況和分化狀態。脂肪幹細胞在培養時屬於貼附型細胞,具有類似纖維母細胞的梭狀細胞型態。本發明中,利用無血清環境培養之脂肪幹細胞型態正常,在早期繼代數(P0~P1),有添加和沒有添加PRGF之培養組別中,脂肪幹細胞都呈現正常的梭狀細胞型態,不過已經可以看出有些微的差異;沒有添加PRGF的組別中,有些遊走型態的細胞,型態上不規則,偶為細長,偶為大而扁平,所能達到的細胞密度也較低(如圖三A);然而,在有添加PRGF的組別當中,細胞型態圓而小較為一致,核質比大且細胞密度較高(如圖三B)。細胞培養到後期代數(如P3)的時後,細胞在型態上的差異也越趨明顯,沒有添加PRGF的細胞會變得比較細長,越趨不規則,也會發現有些細胞的細胞質有皺摺且細胞攤平,這些是典型細胞老化或是基因沉默(gene senescence)的現象(如圖四A);反之,有添加PRGF的培養組別,細胞排列規則,側向排列(lateral association)的行為良好,細胞型態圓而小,很貼近初代細胞的細胞型態(如圖四B)。When adipose stem cells are cultured in vitro, the state of the cells can be judged by type observation, and the growth state and differentiation state of the adipose stem cells can be understood from the type of adipose stem cells. Adipose-derived stem cells belong to adherent cells when cultured and have a spindle cell type similar to fibroblasts. In the present invention, the type of adipose stem cells cultured in a serum-free environment is normal, and the adipose stem cells exhibit a normal spindle cell type in an early subculture number (P0~P1), a culture group with and without addition of PRGF. However, some slight differences can be seen; in the group without PRGF, some migratory cells are irregular in shape, even slender, even large and flat, and the cell density that can be achieved is also low. (Figure 3A); however, among the groups with added PRGF, the cell type is round and small, the nucleoplasmic ratio is large and the cell density is high (Fig. 3B). After the cells are cultured to the late algebra (such as P3), the difference in cell type is also more obvious. Cells without added PRGF will become slender and more irregular, and some cells will be creased. Folded and cells flattened, these are typical cell aging or gene senescence (Figure 4A); conversely, there are culture groups with added PRGF, cell alignment, lateral association The behavior is good, the cell type is round and small, and it is close to the cell type of the primary cells (Fig. 4B).
從細胞培養型態觀察總結可以發現,有添加PRGF的細胞型態較沒添加的圓而小,較貼近未分化的狀態(undifferentiated state);另外,發現能長到比較滿的細胞密度,有添加PRGF時,細胞在P3前可以達到約55,000 cells/cm2,也反映在細胞生長變快,細胞數較多。From the observation of the cell culture pattern, it can be found that the cell type with the addition of PRGF is smaller than the circle which is not added, and is closer to the undifferentiated state; in addition, it is found that it can grow to a relatively full cell density and has been added. In the case of PRGF, the cells can reach about 55,000 cells/cm 2 before P3, which is also reflected in the rapid growth of cells and the large number of cells.
於無血清培養下放大之脂肪幹細胞,以流式細胞儀分析表面抗原,可以發現細胞族群為CD34-、CD45-、HLADR-、CD44+、CD73+、CD90+,為類似間質幹細胞的細胞族群。在培養的過程中,細胞的族群會越來越純,可以從流式細胞儀FSC對SSC的點狀圖中觀察到(如圖五、圖六),點越密集,代表族群越集中。統計實施例之細胞分析結果,結果記錄於表三:The adipose-derived stem cells expanded in serum-free culture were analyzed by flow cytometry. The cell population was found to be CD34 - , CD45 - , HLADR - , CD44 + , CD73 + , CD90 + , which are cell populations similar to mesenchymal stem cells. . In the process of culture, the population of cells will become more and more pure, which can be observed from the flow cytometry FSC on the dot plot of SSC (Fig. 5, Fig. 6). The denser the dots, the more concentrated the population is. The results of the cell analysis of the statistical examples are shown in Table 3:
脂肪幹細胞在培養過程中,如果型態不健康、不一致、培養狀況不良如有死細胞等,都會影響到流式細胞儀的分析結果。有添加PRGF的培養組別中,FSC對SSC的點狀圖可以看到群落集中(如圖六),相較下,沒有添加PRGF的組別,則群落較為分散(如圖五)。另外,有添加PRGF的培養組別在CD73和CD90的表現量上較高,且表現的強度較一致,分析圖中的峰比較尖(如圖六),也呼應到細胞的形態觀察上比較一致。在後期代數的培養上(如P7),細胞型態容易變形,這型態變化會反應在CD73和CD90的染色結果上,如CD73和CD90的染色結果比較低,則可能暗指說細胞沒有維持在不分化的生長狀態。Adipose-derived stem cells in the culture process, if the type is unhealthy, inconsistent, poor culture, such as dead cells, etc., will affect the analysis results of flow cytometry. In the culture group with added PRGF, the dot pattern of SSC can be seen in the FSC (see Figure 6). Compared with the group without PRGF, the community is more dispersed (Figure 5). In addition, the culture group with added PRGF had higher expression in CD73 and CD90, and the intensity of the expression was more consistent. The peaks in the analysis chart were sharper (Fig. 6), which also echoed the morphological observation of the cells. . In the culture of late algebra (such as P7), the cell type is easily deformed. This type of change will reflect the staining results of CD73 and CD90. If the staining results of CD73 and CD90 are relatively low, it may imply that the cells are not maintained. In a state of growth without differentiation.
將細胞表面抗原的表現量用統計分析後,發現添加PRGF培養脂肪幹細胞之組別較容易維持細胞之一致性,代表脂肪幹細胞的細胞標記表現比例都比未添加PRGF的組別高(如圖七);其中CD44高3.2%(n=7,p=0.033);CD73高3.3%(n=7,p=0.0425);CD90高2.9%(n=7,p=0.079);三個負向之細胞標記表現量均低。CD44扮演著細胞間互相溝通、影響的功能;CD90是多種幹細胞會表現的細胞標記;CD73是一種幹細胞會表現的酵素。在細胞狀態維持一致時,這些表面標記的表現量會一致,而且脂肪幹細胞都會表現;反之,如果細胞特性改變,則細胞標記表現也會隨之改變。細胞體外大量無血清培養時,需維持良好之一致性,經過添加PRGF之培養方法較未添加的方法,在維持幹細胞表面抗原的表現上有更好的效果。After statistical analysis of the expression of cell surface antigen, it was found that the group of PRGF-cultured adipose-derived stem cells was easier to maintain cell consistency, and the cell marker expression ratio of adipose-derived stem cells was higher than that of the group without PRGF (Fig. 7). CD44 is 3.2% higher (n=7, p=0.033); CD73 is 3.3% higher (n=7, p=0.0425); CD90 is 2.9% higher (n=7, p=0.079); three negative Cell marker expression was low. CD44 plays the role of communication and influence between cells; CD90 is a cell marker that many stem cells will express; CD73 is an enzyme that stem cells will express. When the cell state is consistent, the expression of these surface markers will be the same, and the adipose stem cells will behave. Conversely, if the cell characteristics change, the cell marker performance will also change. When a large amount of serum-free cells are cultured in vitro, it is necessary to maintain good consistency. The culture method by adding PRGF has a better effect in maintaining the performance of stem cell surface antigen than the method of not adding.
利用RT-PCR分析脂肪幹細胞的基因表現,特別針對六種幹細胞基因(stemness gene)作分析,可以發現oct4、sox2、nanog、klf4、utf1和htert都會在脂肪幹細胞中表現,oct4、sox2、nanog是幹細胞中重要的轉錄因子(transcription factor),會調控、啟動很多下游基因的表現,對於維持幹細胞自我更新是必須的;klf4也是一個在胚胎幹細胞和間質幹細胞中都有的重要蛋白質,對於維持幹細胞的效價扮演著重要的功能。2007年日本的yamanaka和美國的Thomson等人也利用這些基因的組合成功的將體細胞引導成近全能型幹細胞(induced pluripotent stem cells,IPS cells),說明這些基因對於幹細胞的重要性。此外,實驗結果也並且可以發現如果有添加PRGF,較容易維持utf1和htert的基因表現(如圖八和圖九),意指脂肪幹細胞在無血清培養下添加PRGF時,可以維持細胞生長和不分化的狀態;utf1全名是undifferentiated transcription factor 1,意即幹細胞未分化時會表現的轉錄因子,會調控其他幹細胞基因的表現;htert全名是human telomerase reverse transcriptase,是人類端粒酶反轉錄酵素,可以延長人類端粒縮短的時間,跟人類細胞的壽命有直接的關係。RT-PCR analysis of adipose stem cell gene expression, especially for the analysis of six stem cell genes, can be found that oct4, sox2, nanog, klf4, utf1 and htert will be expressed in adipose stem cells, oct4, sox2, nanog is An important transcription factor in stem cells regulates and initiates the expression of many downstream genes, which is essential for maintaining stem cell self-renewal; klf4 is also an important protein found in both embryonic stem cells and mesenchymal stem cells, for maintaining stem cells. The potency plays an important role. In 2007, yamanaka in Japan and Thomson in the United States also used these combinations of genes to successfully direct somatic cells into induced pluripotent stem cells (IPS cells), indicating the importance of these genes for stem cells. In addition, the experimental results also show that if PRGF is added, it is easier to maintain the gene expression of utf1 and htert (Figure 8 and Figure 9), meaning that adipose-derived stem cells can maintain cell growth and not when PRGF is added in serum-free culture. The state of differentiation; the full name of utf1 is undifferentiated transcription factor 1, meaning that the transcription factor expressed when stem cells are not differentiated will regulate the expression of other stem cell genes; the full name of htert is human telomerase reverse transcriptase, which is human telomerase reverse transcriptase It can prolong the shortening of human telomere and has a direct relationship with the life of human cells.
體外培養之脂肪幹細胞具有分化成中胚層細胞的能力,像是脂肪和骨頭細胞,實施例中證實利用PRGF所培養出來的脂肪幹細胞可以分化成脂肪和骨頭,具有間質幹細胞的分化能力,且實驗發現脂肪細胞的分化能力很強,只需要分化七天即有大量油滴產生,可能是因為來源是脂肪幹細胞的關係(如圖十、圖十一、圖十二、圖十三)。The adipose stem cells cultured in vitro have the ability to differentiate into mesoderm cells, such as fat and bone cells. In the examples, it was confirmed that the adipose stem cells cultured by PRGF can differentiate into fat and bone, have the differentiation ability of mesenchymal stem cells, and the experiment It was found that the differentiation ability of fat cells was very strong, and only a large number of oil droplets were produced after differentiation for seven days, probably because the source was a relationship of adipose stem cells (Fig. 10, Fig. 11, Fig. 12, Fig. 13).
利用定量檢體中血小板的數目間接定量PRGF的濃度。CD41為血小板會表現的表面抗原,在PRGF的製作過程中,血小板會破裂,使得血小板中的物質釋放到PRGF溶液中,其中含有許許多多的生長因子,包括VEGF、PDGF-BB、FGF2等,本實施例用流式細胞儀分析樣品中會表現CD41的顆粒,另外再加上內參考組,利用公式即可算出CD41+顆粒的實際數量。BN456812的PRGF血小板含量為4371顆/μl、BN262813的PRGF血小板含量為94101顆/μl、BN726415的PRGF血小板含量為53995顆/μl、BN998619的PRGF血小板含量為11028顆/μl。The concentration of PRGF was quantified indirectly using the number of platelets in the quantitative samples. CD41 is a surface antigen expressed by platelets. During the production of PRGF, platelets will rupture, causing the release of substances in platelets into PRGF solution, which contains many growth factors, including VEGF, PDGF-BB, FGF2, etc. In this example, the particles expressing CD41 in the sample were analyzed by flow cytometry, and the internal reference group was added, and the actual number of CD41+ particles was calculated by the formula. The PRGF platelet content of BN456812 was 4371/μl, the PRGF platelet content of BN262813 was 94101/μl, the PRGF platelet content of BN726415 was 53095/μl, and the PRGF platelet content of BN998619 was 11028/μl.
上列詳細說明係針對本發明之一可行實施例之具體說明,惟該實施例並非用以限制本發明之專利範圍,凡未脫離本發明技藝精神所為之等效實施或變更,均應包含於本案之專利範圍中。The detailed description of the preferred embodiments of the present invention is intended to be limited to the scope of the invention, and is not intended to limit the scope of the invention. The patent scope of this case.
綜上所述,本案所提供之無血清成體幹細胞放大培養技術,具有上述多項功效,應已充分符合新穎性及進步性之法定發明專利要件,爰依法提出申請,懇請 貴局核准本件發明專利申請案,以勵發明,至感德便。In summary, the serum-free adult stem cell amplification culture technology provided in this case has the above-mentioned multiple functions, and should fully comply with the statutory invention patent requirements of novelty and progressiveness, and apply for it according to law, and invite you to approve the invention patent. Apply for the case, in order to invent the invention, to the sense of virtue.
圖一、脂肪幹細胞細胞於無血清培養下有無添加PRGF之生長情形。P0為初代培養,P1為繼代第一代,依此類推。實施例於培養角瓶中以無血清培養四天後,繼代算細胞,白色的組別為沒有加PRGF的組別,灰色的組別為有加PRGF的組別。*:-/+PRGF組別有顯著差異(p<0.05),n=4,t-test單尾統計。Figure 1. Growth of adipose stem cell cells in serum-free culture with or without added PRGF. P0 is the first generation culture, P1 is the first generation of the next generation, and so on. EXAMPLES After four days of serum-free culture in culture flasks, the cells were subcultured, the white group was the group without PRGF, and the gray group was the group with PRGF. *:-/+PRGF group had significant differences (p<0.05), n=4, t-test one-tailed statistics.
圖二、脂肪幹細胞細胞於無血清培養下有無添加PRGF之生長放大倍率圖。P1/P0為初代到第一代的放大倍數,P2/P0為初代到第二代的放大倍率。實施例於培養角瓶中以無血清培養四天後,繼代算細胞,白色的組別為沒有加PRGF的組別,灰色的組別為有加PRGF的組別。*:-/+PRGF組別有顯著差異(p<0.05),n=4,t-test單尾統計。Figure 2. Growth magnification of adipose-derived stem cells in serum-free culture with or without added PRGF. P1/P0 is the magnification from the first generation to the first generation, and P2/P0 is the magnification from the first generation to the second generation. EXAMPLES After four days of serum-free culture in culture flasks, the cells were subcultured, the white group was the group without PRGF, and the gray group was the group with PRGF. *:-/+PRGF group had significant differences (p<0.05), n=4, t-test one-tailed statistics.
圖三、BN998619之P1細胞培養在無血清下第四天之相位差放大照片(200X),(A)沒有添加PRGF,(B)有添加PRGF。Fig. 3, PN cell culture of BN998619 was subjected to phase difference magnification photograph (200X) on the fourth day without serum, (A) no PRGF was added, and (B) PRGF was added.
圖四、BN726415之P3細胞培養在無血清下第四天之相位差放大照片(200X),(A)沒有添加PRGF,(B)有添加PRGF。Figure 4. P3 cell culture of BN726415 was amplified on the fourth day of serum-free day (200X), (A) no PRGF was added, and (B) PRGF was added.
圖五、BN262813之P7細胞於無血清且沒有添加PRGF的培養基下培養四天後,以流式細胞儀分析CD34、CD45、HLADR、CD44、CD73、CD90等表面抗原標記之表現,並利用CellQuest軟體作分析。Figure 5. BN262813 P7 cells were cultured in serum-free medium without added PRGF for four days. Flow cytometry was used to analyze the expression of surface antigen markers such as CD34, CD45, HLADR, CD44, CD73, and CD90, and the CellQuest software was used. do analysis.
圖六、BN262813之P7細胞於無血清,添加PRGF的培養基下培養四天後,以流式細胞儀分析CD34、CD45、HLADR、CD44、CD73、CD90等表面抗原標記之表現,並利用CellQuest軟體作分析。Figure 6. P7 cells of BN262813 were cultured in serum-free medium supplemented with PRGF for four days. Flow cytometry was used to analyze the expression of surface antigen markers such as CD34, CD45, HLADR, CD44, CD73, CD90, etc., and using CellQuest software. analysis.
圖七、脂肪幹細胞於無血清培養下有無添加PRGF之表面抗原之表現比率。在無血清培養下四天後以流式細胞儀分析CD34、CD45、HLADR、CD44、CD73、CD90等表面抗原標記之表現,白色的組別為沒有加PRGF的組別,灰色的組別為有加PRGF的組別。*:-/+PRGF組別有顯著差異(p<0.05),n=4,t-test單尾統計。Figure 7. The performance ratio of adipose-derived stem cells to serum-free surface antigens in serum-free culture. Four days after serum-free culture, flow cytometry was used to analyze the expression of surface antigen markers such as CD34, CD45, HLADR, CD44, CD73, and CD90. The white group was the group without PRGF, and the gray group was Add PRGF group. *:-/+PRGF group had significant differences (p<0.05), n=4, t-test one-tailed statistics.
圖八、BN456812、P2細胞之幹細胞基因表現。利用RT-PCR檢驗脂肪幹細胞,之後以洋菜膠電泳分析(agarose gel electrophoresis)。M代表Marker,左邊圖為有添加PRGF的組別,右邊圖為沒有添加PRGF的組別。縮寫對照:G: gapdh,347 bp;S: sox2,139 bp;O: oct4,103 bp;N: nanog,142 bp;K: klf4,182 bp;U: utf1,117 bp;T: htert,258 bp;M: markerFigure 8. Stem cell gene expression of BN456812 and P2 cells. Adipose stem cells were examined by RT-PCR and then analyzed by agarose gel electrophoresis. M stands for Marker, the left picture shows the group with the added PRGF, and the right picture shows the group with no PRGF added. Abbreviations: G: gapdh, 347 bp; S: sox2, 139 bp; O: oct4, 103 bp; N: nanog, 142 bp; K: klf4, 182 bp; U: utf1, 117 bp; T: htert, 258 Bp;M: marker
圖九、BN262813、P3細胞之幹細胞基因表現。利用RT-PCR檢驗脂肪幹細胞,之後以洋菜膠電泳分析(agarose gel electrophoresis)。M代表Marker,Marker左邊七行為沒有添加PRGF的組別,右邊七行為有添加PRGF的組別。縮寫對照:G: gapdh,347 bp;S: sox2,139 bp;O: oct4,103 bp;N: nanog,142 bp;K: klf4,182 bp;U: utf1,117 bp;T: htert,258 bp;M: markerFigure 9. Stem cell gene expression of BN262813 and P3 cells. Adipose stem cells were examined by RT-PCR and then analyzed by agarose gel electrophoresis. M stands for Marker, Marker's left side acts as a group with no PRGF added, and the right side has a group with PRGF added. Abbreviations: G: gapdh, 347 bp; S: sox2, 139 bp; O: oct4, 103 bp; N: nanog, 142 bp; K: klf4, 182 bp; U: utf1, 117 bp; T: htert, 258 Bp;M: marker
圖十、BN456812之P2細胞進行(A)脂肪細胞與(B)骨母細胞分化至第14天;200倍放大,明視野。Figure 10. P2 cells of BN456812 were subjected to (A) adipocytes and (B) osteoblasts to day 14; 200-fold magnification, bright field.
圖十一、BN262813之P5細胞進行(A)脂肪細胞與(B)骨母細胞分化至第14天;200倍放大,明視野。Figure XI, P5 cells of BN262813 were subjected to (A) adipocytes and (B) osteoblasts to day 14; 200-fold magnification, bright field.
圖十二、BN726415之P3細胞進行(A)脂肪細胞與(B)骨母細胞分化至第14天;200倍放大,明視野。Figure 12, P3 cells of BN726415 were subjected to (A) adipocytes and (B) osteoblasts to day 14; 200-fold magnification, bright field.
圖十三、BN998619之P2細胞進行(A)脂肪細胞與(B)骨母細胞分化至第14天;200倍放大,明視野。Figure 13. P2 cells of BN998619 were differentiated between (A) adipocytes and (B) osteoblasts to day 14; 200-fold magnification, bright field.
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