HESI Workshop on Alternative Assays for Developmental Toxicology

Stem Cell Biology

Embryonic Stem Cells as Model System to Study Embryotoxic Effects

Cary, N.C. February 27- 28, 2007

Anna M. Wobus ([email protected]) Leibniz Institute (IPK) Gatersleben, Germany UniqueUnique PropertiesProperties ofof EmbryonicEmbryonic StemStem (ES)(ES) CellsCells

in vivo

Oocyte

Sperm Zygote

in vitro

Inner cell mass Cultivation (ICM) ES cells Proliferation

Blastocyst Cultivation Differentiation Primordial germ cells EG cells (PGC) "embryoid body" (EB)

Endoderm Ectoderm Liver cells Neuronal cells Pancreas Mesoderm cells Cardiac cells Skeletal muscle cells Blood cells Fat cells ESES cellscells differentiatedifferentiate inin vitrovitro intointo cellcell typestypes ofof allall threethree primaryprimary germgerm layerslayers

C D E

Mesoderm

Cardiomyocytes Skeletal muscle Smooth muscle A B F G H

Ectoderm

Neurons Glial Epithelial Embryonic stem cells Embryoid body I K L

Endoderm

Pancreatic cells Hepatocytes Hepatocytes ESES cellcell differentiationdifferentiation inin vitrovitro recapitulatesrecapitulates processesprocesses ofof earlyearly embryonicembryonic developmentdevelopment DifferentiationDifferentiation ofof ESES cellscells inin vitrovitro

1) Embryoid body formation (3 germ layers!) • ‘Mass culture‘ • ‘Hanging drop culture‘ • Methylcellulose • ‘Spinner culture‘

2) Differentiation in monolayer culture (neural cells)

3) Co-culture systems (PA-6, END-2) DifferentiationDifferentiation ofof ESES cellscells inin vitrovitro

1) Embryoid body formation (3 germ layers!) • ‘Mass culture‘ • ‘Hanging drop culture‘ • Methylcellulose • ‘Spinner culture‘

2) Differentiation in monolayer culture (neural cells)

3) Co-culture systems (PA-6, END-2) ParametersParameters thatthat affectaffect ESES CellCell DifferentiationDifferentiation

ƒ Culture media, supplements

ƒ Concentration and quality of FCS

ƒ ES cell line, passage number

ƒ Number of cells in the EBs

ƒ Time of EB plating

⇒ Threshold concentrations of ECM and growths factors in the EB regulate ES cell differentiation CCardiacardiac differentiationdifferentiation DifferentiationDifferentiation ofof beatingbeating cardiomyocytescardiomyocytes

Titin (Z-disk)-positive cardiac cells CardiacCardiac differentiationdifferentiation

ES cells EBs Multilineage Cardiac clusters progenitors

Stage 123 4 nestin/

Culture (d) 055+65+24 Differentiation induction

Media Additives L-Glut, NEAA, MTG

Basal medium DMEM + 15%FCS IMDM + 20% FCS

Substrate MEF Gelatine or Laminin ExpressionExpression ofof mesodermmesoderm-- andand cardiaccardiac--specificspecific genesgenes duringduring ESES--derivedderived cardiogenesiscardiogenesis

1 2 3 4 5 6 7 8 9101214day T (Brachyury)

BMP-4

plating

ES 3 5 + 2 + 5 + 7 + 12 + 18 day

Nkx2.5

α−MHC

β−MHC

ANF

MLC-2V CardiacCardiac--specificspecific actionaction potentialspotentials andand ionion currentscurrents

Early Intermediate Terminal stage +60

0 mV Action

potentials -80 Atrial-like Ventricle- Sinusnodal- 1 sec like like

ICa + ++ ++ ++ ++

Ito + + + + +

IK,ATP + + + + +

IK - + + + +

INa - + ++ ++ +- I - - + + - Ion currents K1

IK,Ach - - + - + - If - + - ++ ESES--derivedderived cardiomyocytescardiomyocytes respondrespond pharmacologicallypharmacologically similarsimilar toto cardiaccardiac cellscells developeddeveloped inin vivovivo

Isradipin Nisoldipin Bay K Gallopamil CarbacholAtropin Forskolin Isoproterenol 8644 Diltiazem Dihydropyridine Ca2+ senstitive GTPγS GTPγS channel (L-type) Cholinoceptor Adenylyl cyclase β-adrenoceptor 2+ N N Ca

GGi s Gs Phoshat- P ases C N ATP CCcAMP N cAMP-dependent PDEs kinase A C ATP Ca2+

PDEs inhibitors 8-bromo PKA PKA ATPγS okadaic IBMX, EHNA, cAMP inhibitor catalytic acid milrinone, rolipram peptide subunit ESES--derivedderived cardiomyocytescardiomyocytes forfor drugdrug screeningscreening

Embryoid body (EB) Beating clusters in EB outgrowths

Estimation of basal level of beating frequency by the LUCIA 'Heart' Pharmacological analysis imaging system of cardioactive drugs

BayK 8644 Diltiazem

100 Diltiazem BayK 8644 Dose-response-effects 80 60 40 20 0 -20

Schlagfrequenz (Schläge/min) -40 -60

-8 -7 -6 -5 log Koncentration (M) NNeuronaleuronal differentiationdifferentiation NeuronalNeuronal differentiationdifferentiation

ES cells EBs Neural Neuronal Dopaminergic progenitors cells neurons

Stage 12 3 4 5 nestin ß III- TH

Culture (d) 0 4 4+7 4+14 C 4+30 Selection Expansion Differentiation induction

Media Additives B1 (-FCS: 4+1) B2 + EGF;bFGF Neurobasal + B27 (2%) + SPFs

Basal medium IMDM+20%FCS DMEM/F12 DMEM/F12 +10%FCS

Substrate Gelatine poly-L-Ornithine/Laminin 100 ES EG C 80

60 cells (%)

ESES cellscells differentiatedifferentiate 40

20 nestin-positive

intointo neuralneural precursorprecursor Percentage cell-derived of ES 0 4+ (ES) 2681012144 cellscells andand TH+TH+ (EG)5+ dopaminedopamine--producingproducing EB plating Replating 100 -SPF E neuronsneurons 80 + SPF

60

Immunofluorescence analysis nef ostin-positive neuronaprl ecurso cells (A,B,C), tyrosinhye droxyla(Tse H)- (D,E,) andopad mine transport(Der AT)-positivdoe paminergic neurons (F,G) * * 40 labelled cells

TH+- (%)Syn- of cells 20

0 4+ 16 23 30

100 -SPF + SPF G 80

60 * 40 * labelled cells

DAT+-Syn- (%) of cells 20

0

4+ 16 23 30 Time of differentiation (d) Increase of Nurr1, TH and bcl-2 mRNA levels by SPFs

Embryoid bodies plated at day 4 4+ 4 7 12 16 16 23 23 30 30 35 35 40 40 44 44 En-1 A

D2R-L TH Nurr1 bcl-2 β-tubulin

100 80 En-1 B 60 40 20 0 100 80 D2R-L C 60 40 20 R-L, TH, Nurr1 and

2 0 100 TH D 80 * 60 40 20 0 100 Nurr1 80 * ** ** E 60 40 20 0 100 bcl-2 F 80 ** * 60 ** 40 20 Relative mRNA levels of En-1, D bcl-2 (%) 0 4+ 4 7 12 16 23 30 35 40 44 Time of Differentiation -SPF (4+14-4+44d) +SPF (4+14-4+44d)

------5 . 7 3

D ( o p a m i n e )

Retention time (min) Cultures with SPF with Cultures

------5 . 6 9

D ( o p a m i n e thout SPF thout ) Retention time (min) Cultures wi

12345 678 12345 678

---- 5 . 7 9

(D o p a m i n e analyzed by HPLC ) analyzed by HPLC Retention time (min) External standard Dopamine synthesis of TH+ neurons Dopamine synthesis of TH+ neurons 012345 678 0

600

I n te n s ty i

( m v 1200 ) NeurotoxicNeurotoxic effectseffects ofof 100100 μμMM MPTPMPTP onon TH+TH+ neuronsneurons

A B

C D Control MPTP treatment 48h PancreaticPancreatic differentiationdifferentiation PancreaticPancreatic DifferentiationDifferentiation ofof wtwt andand Pax4+Pax4+ ESES CellsCells

ES cells EBs Multilineage Committed Islet-like progenitors progenitors clusters

Stage 12345

Nestin/CK19 C-peptide/Nestin Insulin/C-peptide

Culture (d) 0 5 5+9 5+16 5+28 Differentiation induction

Media Additives L-Glut, NEAA, MTG NA + Laminin

Basal medium DMEM + 15%FCS IMDM + 20% FCS N2 + B27 (- FCS: 5 + 10d to 5 + 28d)

Substrate MEF Gelatine poly-Ornithine/Laminin UpregulationUpregulation ofof pancreaspancreas--specificspecific genesgenes andand differentiationdifferentiation ofof isletislet--likelike clustersclusters

ES 5+9d 5+16d 5+28d panc brain Insulin/ proinsuli n InsulinInsulin II I Glucagon Amylase Somatostatin ß- tubulin C-peptide/insulin Pdx1 Pax4 IAPP ß-tubulin 5+95+16 5+28 5+28d wt Time of differentiation (d) ESES cellscells (Pax4+)(Pax4+) differentiatedifferentiate intointo functionalfunctional insulininsulin--producingproducing cellscells

Insulin/C-peptide Voltage-activated Na+ channels ATP-sensitive K+ channels (Pax4+ cells)

Wt 5+28d 30 Transplantation

Insulin/C-peptide 25

20

15

10

Blood glucose [mM] wt (n=6) Sham control (n=6) + 5 Voltage-activated K channels + + STZ Pax4 (n=5) Pax4 , graft removal (n=2) 0 + 0481216202428323640 Pax4 5+28d Time (days) Bar = 20 µm

Blyszczuk et al., PNAS 2003; 2004; Kania et al., IJDB 2004; Schroeder et al., Nature Prot. 2006 ESES cellscells recapitulaterecapitulate thethe programprogram ofof mesodermalmesodermal,, ectodermalectodermal andand endodermalendodermal lineagelineage developmentdevelopment

Undifferentiated ESC Inner cell mass of blastocyst

Proliferation and differentiation

Cardiac cells Neuronal cells Pancreatic cells

Wobus et al. (1991) Rolletschek et al. (2001) Blyszczuk et al. (2003) Wobus & Boheler, 2005 etc…. Blyszczuk et al. (2004) etc…. ESES CellCell TechnologyTechnology inin vitrovitro

Embryotoxicity/Teratogenicity Cell Therapy Selective Differentiation Blastocyst Analysis of Embryotoxic Factors in vitro and Isolation

'G a in -o f- Injection Cultivation func In vitro t ++ io ES cells (A /A ) n Endoderm '

Ectoderm Pharmacology Differentiation Drug Screening embryoid body Mesoderm

n' io Homologous ct fun Recombination f- -o A- oss 'L

A-/A- Genomics/ Proteomics

- cDNA Arrays/Microchips - SAGE CriticalCritical parametersparameters ofof embryotoxicityembryotoxicity teststests usingusing ESES cellscells

• Treatment time (development-specific effects) • Concentration-dependent effects (threshold concentration) • Activity of chemicals under in vitro conditions (metabolic activity) • Genetic and epigenetic factors (long-term cultivation) • Several endpoints and lineages should be included into the test system. EffectsEffects ofof RARA onon ESES CellCell DDifferentiationifferentiation

• Biologically active form of Vitamin A • Highly teratogenic in animals and human • Malformations of craniofacial structures and CNS • Cardiac (conotruncal heart, aortic arch, ventricular septum) defects (RAR-/- and RXR-/- mice!) StageStage-- andand concentrationconcentration--dependentdependent effectseffects ofof RARA onon ESES cellcell differentiationdifferentiation RARA (10(10–9M,M, 55--7d)7d) inducedinduced upregulationupregulation ofof αα--cardiaccardiac MHCMHC andand MLCMLC--2v2v mRNAmRNA levelslevels

Control 10-9 M RA 10-8 M RA RARA (10(10-8/-9 M,M, 55--7d)7d) increasedincreased thethe numbernumber ofof cardiaccardiac ventricleventricle--,, butbut decreaseddecreased pacemakerpacemaker--likelike cellscells

control RA treatment ESES CellCell TestTest forfor CardiacCardiac--specificspecific EmbryotoxicityEmbryotoxicity

RSV-LTR Neor pGNA/MLC-2.1 Kpn I Reporter β-gal 2.1 MLC-2v Promoter Xmn I Transfection into ES cells

Differentiation (+ test substance: RA)

Embryoid body

Plating Differentiation (+ test substance: RA) a - RA (control) b + RA

Wobus et al., (1994), (1997); rev. Wobus & Boheler, Phys. Rev. (2005) EffectsEffects ofof LithiumLithium onon ESES CellCell DifferentiationDifferentiation

• Highly teratogenic in animals and humans • Induction of dorsoventral patterning in Xenopus • Treatment of manic depressive psychosis, psychiatric disorders • Lithium is able to cross the placenta LithiumLithium (5(5--10d)10d) decreaseddecreased cardiaccardiac andand skeletalskeletal musclemuscle cellcell differentiationdifferentiation ofof ESES cellscells αα--MHCMHC andand myoDmyoD mRNAmRNA levelslevels areare downdown regulatedregulated atat highhigh concentrationsconcentrations ofof LithiumLithium NeuralNeural--specificspecific SynSyn andand NFMNFM mRNAmRNA levelslevels areare partiallypartially upup regulatedregulated byby LithiumLithium

Schmidt et al. Differentiation (2000) SummarySummary ofof RARA andand LithiumLithium effectseffects onon ESES cellcell differentiationdifferentiation

• RA and Lithium show concentration- and stage- dependent effects on lineage differentiation of ES cells;

• RA and Lithium could induce the differentiation of specific cellular subtypes, but inhibit other lineages;

• ES cells are suitable cellular models to analyze embryotoxic effects of chemicals, if applied under defined conditions. EffectsEffects ofof PhysicalPhysical FactorsFactors:: ElectromagneticElectromagnetic FieldsFields (EMF)(EMF) onon ESES CellCell DDifferentiationifferentiation 1.1. EffectsEffects ofof highhigh frequencyfrequency EMFEMF (GSM,(GSM, 217217 Hz,Hz, 1.711.71 GHz)GHz) onon wtwt andand p53p53--//-- ESES cellscells

Analysis of the influence of the genetic background on EMF response of cells, effects of different modulation schemes

2.2. EffectsEffects ofof lowlow frequencyfrequency EMFEMF (50(50 Hz)Hz) onon wtwt andand p53p53--//-- ESES cellscells Analysis of 50 Hz power-line EMF: at different flux densities (0.1, 1.0, 2.3 mT), exposure times, and intermittency schemes EMFEMF exposureexposure toto undifferentiatedundifferentiated andand differentiatingdifferentiating wtwt andand p53p53 --//-- ESES cellscells

Undifferentiated ES cells (D3) cultivated on feeder layer

AB Cultivation of ES cells in hanging drops Cultivation of ES cells 0-2d in hanging drops for early differentiation 6h/48h EMF exposure Formation of embryoid bodies (EBs) 6h EMF exposure

RT -PCR analysis Cultivation of EBs in suspension 2-5d Upregulation of stress-

Plating of EBs 5d response, cell cycle and apoptosis regulating genes in p53-/- cells: 5 to 5+15d Differentiation hsp 70!, p21, c-jun, c- myc/ egr-1, bcl-2, c-jun

RT -PCR analysis Czyz et al., Bioelectromagnetics (2004); Mutation Res. (2004) 3.3. EffectsEffects ofof EMFEMF onon ESES--derivedderived neuralneural progenitorprogenitor cellscells

Influence of RF- and ELF- EMF on transcript levels and cellular functions of wild type ES-derived neural cells: Q-RT-PCR, IF, proliferation, differentiation, cell cycle, subG1 fraction, apoptosis, cytogenetic effects, COMET assay ES cells cultivated on feeder layer AnalysisAnalysis ofof EMFEMF exposureexposure Days Cultivation of ES cells in hanging drops 0d onon ESES--derivedderived neuralneural A Formation of embryoid bodies (EBs) 2d progenitorprogenitor cellscells

Transfer of EBs to bacteriological 2d-4d plates and cultivation in suspension

Plating of EBs (A) onto gelatin-coated plates 4d

Cultivation in ITSFn medium 4+1d

4+4d Q-RT-PCR EMF exposure 6h / 48h COMET, CA, SCE, M1:M2:M3 ratio, 4+6d subG1 FACS, IF (nestin+ / BrdU+ cells), mitochondrial function

B nestin Dissociation of nestin+ cells (B), 4+7d COMET, Q-RT-PCR, subG1 FACS replating onto poly-L-ornithine/ laminin-coated plates in 'nestin+ 4+8d COMET, subG1 FACS cells expansion medium'

4+11d Q-RT-PCR, subG1 FACS

Cultivation in Neurobasal medium with 10% FCS, 2% B27-supplement and 4+14d survival promoting factors C ßIII-tubulin D GFAP 4+17d Q-RT-PCR

4+23d Q-RT-PCR, subG1 FACS, IF Differentiation into neurons (C) and glia (D) (ßIII tubulin, TH, GFAP) Pluripotent ES cells

Formation of embryoid bodies (EBs)

Differentiation into neural progenitor cells SummarySummary

ELF-EMF RF-EMF RF- and ELF-EMF (6h) (50 Hz Powerline, 2.0 mT) (217 Hz, 1.71 GHz, 1.5 W/kg) affected transcript levels of Q-RT-PCR, COMET, CA, SCE, M1:M2:M3 ratio, subG1, IF (BrdU+ / regulatory genes, nestin+ cells), mitochondrial function (Mitotracker CM-H2X ROS) but not proliferation and

Differentiation into neuronal and glial cells differentiation of neural cells

Q-RT-PCR, subG1 FACS, IF (ßIII-tubulin, TH, GFAP)

ELF-EMF: RF-EMF: • Up-regulation of bcl-2 and bax • Up-regulation of bax, GADD45 • Down-regulation of GADD45 • Down-regulation of Nurr1 • No effects on DNA breakage, CA, • No effects on CA, SCE, subG1, SCE, subG1, mitochondrial function mitochondrial function • Primary DNA damage in Comet assay? Nikolova et al., FASEB J. (2005) EmbryotoxicityEmbryotoxicity TestsTests UsingUsing ESES CellsCells

• Conclusion: – Test substances should be applied during spontaneous differentiation of ES cells in vitro – Use of genetically modified ES cells (“Reporter strains”) – “Loss-of-function” or “gain-of-function” studies – Establishment of screening systems and high throughput applications (imaging analysis, FACS) • Critical Parameters: – Treatment time (stage-specific effects) influence lineage differentiation of ES cells – Concentration effects are dependent on treatment time or developmental stage of ES cells. AcknowledgementsAcknowledgements ‘In Vitro Differentiation‘ Group, IPK Gatersleben,Germany

Collaborations:Collaborations: KennethKenneth Boheler Boheler (NIA,Baltimore), (NIA,Baltimore), MarjanMarjan Rupnik Rupnik (Göttingen)(Göttingen) UrsulaUrsula Ravens,Ravens, IhorIhor Zahanich Zahanich (Dresden) (Dresden) NielsNiels Kuster Kuster (ETH (ETH Zurich)Zurich) Funding:Funding: VERUMVERUM Foundation,Foundation, DFG,DFG, BMBF,BMBF, EU:EU: REFLEXREFLEX