Abstract

In vitro generation of red blood cells (RBCs) from human embryonic stem cells (hESC) and human induced pluripotent stem cells (hiPSC) appears to be a promising alternate approach to circumvent shortages in donor-derived blood supplies for clinical applications. Conventional methods for hematopoietic differentiation of hESC and iPSC rely on embryoid body (EB) formation and/or co-culture with xenogeneic cell-lines. However, these current methods are not amenable for scale-up and face obstacles for clinical translation due to the use of xenogeneic materials. Here we report the development of a serum-free and chemically defined platform using recombinant human Laminin-521 coated microcarriers for pluripotent stem cell expansion and hematopoietic differentiation of hESC and hiPSC. Improved survival and better quality EBs generated with the microcarrier-based method resulted in at least a 6-fold improvement in hemangioblast expansion, potentially culminating in a 80-fold improvement in the yield of RBC generation as compared to a conventional EB-based method. Using the improved microcarrier-based differentiation protocol, we demonstrated successful differentiation of O-negative (Rhesus factor D negative) RBCs from donor hiPSC generated from finger-prick blood. Universal donor RBCs (blood type O-RhD negative) could prove to be extremely useful for future cell therapy applications such as emergency blood transfusions and for treating poly-immunized patients with recurrent transfusion needs. Thus, our microcarrier-based differentiation platform could prove to be an appealing strategy for future scale-up of hESC and hiPSC culture and for hematopoietic differentiation under defined conditions for large-scale generation of universal donor RBCs.

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