Improved hematopoietic differentiation of human pluripotent stem cells via estrogen receptor signaling pathway
- Hye-Ryun Kim†1,
- Jong-Hee Lee†2,
- Hye-Ryeon Heo3,
- Se-Ran Yang4, 8,
- Kwon-Soo Ha5,
- Won Sun Park6,
- Eun-Taek Han7,
- Haengseok Song1Email author and
- Seok-Ho Hong3, 8Email author
© The Author(s) 2016
Received: 7 February 2016
Accepted: 7 June 2016
Published: 30 August 2016
Aside from its importance in reproduction, estrogen (E2) is known to regulate the proliferation and differentiation of hematopoietic stem cells in rodents. However, the regulatory role of E2 in human hematopoietic system has not been investigated. The purpose of this study is to investigate the effect of E2 on hematopoietic differentiation using human pluripotent stem cells (hPSCs).
E2 improved hematopoietic differentiation of hPSCs via estrogen receptor alpha (ER-α)-dependent pathway. During hematopoietic differentiation of hPSCs, ER-α is persistently maintained and hematopoietic phenotypes (CD34 and CD45) were exclusively detected in ER-α positive cells. Interestingly, continuous E2 signaling is required to promote hematopoietic output from hPSCs. Supplementation of E2 or an ER-α selective agonist significantly increased the number of hemangioblasts and hematopoietic progenitors, and subsequent erythropoiesis, whereas ER-β selective agonist did not. Furthermore, ICI 182,780 (ER antagonist) completely abrogated the E2-induced hematopoietic augmentation. Not only from hPSCs but also from human umbilical cord bloods, does E2 signaling potentiate hematopoietic development, suggesting universal function of E2 on hematopoiesis.
Our study identifies E2 as positive regulator of human hematopoiesis and suggests that endocrine factors such as E2 influence the behavior of hematopoietic stem cells in various physiological conditions.
KeywordsEstrogen Human pluripotent stem cells Hematopoiesis Erythrocytes
Estrogen (E2), a primary steroid hormone, plays a crucial role in the development, maturation, and functions of male and female reproductive organs [1, 2]. E2 acts on target cells by binding nuclear receptors, of which two nuclear receptors have been identified, estrogen receptor (ER)-α and ER-β . The E2-ER complex binds to specific sequences of DNA and then modulates transcription of its target genes, called genomic action of E2. E2 can also mediate rapid signaling independent of genomic pathway. This rapid signaling can be mediated by various intracellular second messengers, which confer to the ability of rapid transmission of E2 signaling in target cells .
Aside from its importance in reproduction, a growing body of evidence indicates that E2 is involved in regulating the proliferation and differentiation of multipotent and pluripotent stem cells [5–7]. A recent study unveiled an unexpected function of E2 in promoting cycling of hematopoietic stem cells (HSCs) and multipotent progenitors (MPPs) and their differentiation into megakaryocyte-erythroid progenitors (MEPs) . While the administration of pharmacologic agonists and antagonists of ER seems to modulate HSC proliferation in vivo, to date, comparatively less is known about the regulatory role of E2 in early hematopoietic development in humans. Furthermore, as expected, it is very difficult to understand such coordinated events of E2 on human hematopoiesis in vivo context. Human pluripotent stem cells (hPSCs) have provided promising opportunities to understand the fundamental processes of human cell fate decisions in the context of tissue regeneration and human diseases . The process of hematopoietic development in vivo is tightly controlled and regulated by the distinct intrinsic and extrinsic signaling pathways and in vitro hematopoiesis of hPSCs mimicks these signaling cascades active during embryonic development [10–12]. Consistent with the importance of Notch, Wnt and Hedgehog (Hh) signalings during early embryonic hematopoiesis, recent evidence has shown that activation of these signaling pathways is crucial for both the emergence of hemogenic cells and the subsequent hematopoietic specification from hPSCs [10, 13]. Thus, we utilized hPSCs as a robust in vitro system to investigate the function of E2 during hematopoietic cell fate decision.
In this study, we identify a unique role of E2 in the regulation of hematopoiesis from hPSCs. E2-ER-α signaling enriches hemangioblasts, hematopoietic progenitors and subsequent erythrocytes during hematopoietic differentiation programs in humans.
ER-alpha is persistently maintained during hematopoietic differentiation
Continuous E2 signaling is required to promote hematopoietic output from hPSCs
Hematopoietic differentiation program can be divided into two phases, hemogenic specification (days 0–7) and then hematopoietic commitment (days 7–15). To investigate temporal effects of E2 signaling during hematopoietic differentiation, hEBs were treated with E2 for hemogenic specification (days 0–7) phase, hematopoietic commitment (days 7–15) phase or both phases (days 0–15). In cases that E2 was temporally provided, both primitive and matured hematopoietic output was significantly reduced as compared with those of E2 treatment for both phases. These results strongly suggest that continuous activation of E2 signaling is required for E2-dependent increase of hematopoietic differentiation (Fig. 2c). We next examined whether E2 could promote functional multi-lineage capacity of hematopoietic progenitors as well using the in vitro CFU assay. While supplementation of hGFs significantly increased total number of CFUs produced by progenitor cells, E2 did not show any synergistic effects on this event (Fig. 2d). Furthermore, the distribution of CFU types was not affected by any treatments (Fig. 2e), suggesting that E2 signaling does not have critical influence on the functional capacity of hematopoietic progenitors. Taken together, these results demonstrated that E2-ER signaling pathway facilitates hPSC-derived hematopoietic programming, but not multi-lineage potential of hematopoietic progenitors.
E2 significantly increases the number of hemangioblasts and erythroid colonies via ER-α-dependent pathway
E2 promotes the expansion of hematopoietic progenitors derived from hUCBs
HSCs is maintained by various intrinsic factors and environmental cues in vivo or in vitro [10–12]. Therefore, understanding molecular mechanisms by which these regulatory factors maintain HSCs is required to instruct successful proliferation and maintenance of HSCs for clinical applications. Our current study identifies a critical novel function of E2 during early human hematopoiesis and the expansion of hematopoietic progenitors. Although this report is the first to reveal a role for E2 signaling in early human hematopoietic specification, similar mechanisms have been shown to regulate hematopoiesis in other species. Significant reduction of HSCs in E2-deficiency rat by ovariectomy has been reported and this hematopoietic dysfunction in the bone marrow (BM) may be due to altered levels of hGFs such as SCF and IL-3 . In mice, E2 increases numbers of functional short-term HSCs (ST-HSCs) with reconstitutive potential in the vascular niche by enhancing S-phase entry . A recent study demonstrated the differential expression of ER-α and ER-β between long-term (LT) repopulating HSCs (LT-HSCs) and committed progenitors in the mouse BM . It also showed that ER-α deficiency led to the reduction of LT- and SH-HSCs, but did not affect the number of MPPs, suggesting distinct role of E2 pathway in subpopulations of mouse HSCs. In addition, E2-ER-α signaling yielded elevated HSC division and erythropoiesis especially in female mice . Although these results in other species provided practical implications for E2 in human HSCs, it has not been achieved to date partly due to the lack of appropriate human models. In this aspect, we provide a model to investigate early human hematopoiesis in vitro with hPSCs and demonstrate positive effect of E2 on this developmental process.
In vitro differentiation of hPSCs provided valuable surrogate for understanding the cellular and molecular mechanisms that govern developmental process of the human in vivo. Based on our present study using hPSCs, we propose a beneficial role of E2 signaling in promoting intrinsic hematopoietic potential of hPSCs and further demonstrated that the activation of ER-α enhances generation of hemangioblasts and erythrocytes. Nakada et al. also showed that activation of ER signaling with PPT but not with DPN significantly increased HSC division as well as erythropoiesis in the BM and spleen . These data indicate that E2 effects on HSCs and erythropoiesis are mediated primarily via ER-α and functionally conserved between mice and humans. While this study clearly demonstrates that continuous activation of ER signaling improves hematopoietic differentiation in humans, downstream signaling pathways that regulate these processes still remain elusive. Recently, it was reported that EGR1, a member of EGR family of transcription factors, controls both the proliferation and mobilization of HSCs in mouse BM . Several groups including us recently showed that E2-ER signaling pathway transiently induces EGR1 to orchestrate a second wave of gene expression in the uterus [24–26]. We found that c-KIT, a transmembrane receptor tyrosine kinase for stem cell factor, is one of EGR1 direct target genes whose transcription is directly regulated by EGR1 in the uterus (data not shown). It is interesting to note that c-KIT is an important cell surface marker sued to identify hematopoietic stem/progenitor cells in the BM and c-KIT + hPSCs are lineage-biased toward hematopoietic cell fate [27, 28]. In this regard, it is possible that E2 induces immediate early response genes such as EGR1 to produce local factors critical for hematopoiesis in human BM and hematopoietic development of hPSCs. Further studies are warranted to characterize underlying molecular mechanisms by which E2 controls hematopoietic differentiation in humans.
Consistent with increased hematopoiesis in hPSCs, E2 pathway appeared to potentiate functional activity of hematopoietic progenitors of hUCBs. The small number of hematopoietic stem/progenitor cells in UCBs limits their widespread use for transplantation and gene therapy [29, 30]. Thus, efficient and continuous ex vivo expansion of purified hematopoietic stem/progenitors without loss of repopulation capacity has become a priority to meet the clinical requirements for allogeneic transplantation . In this respect, our data suggest that expansion of hematopoietic progenitors with multi-lineage potential of UCBs by E2 signaling enables UCBs to become a prioritized source for future clinical applications.
The present study demonstrates that E2 improved hematopoietic differentiation of hPSCs via ER-α-dependent pathway. Taken together, the present finding expands our understanding of actions of endocrine factors on human hematopoietic development, which may provide new possible potential candidate for HSC transplantation. It is definitely critical to evaluate in vivo repopulation capability of hematopoietic stem/progenitors expanded in the presence of E2 for clinical cell transplantation therapies.
Maintenance of hiPSCs
All experiments were carried out with the hiPSC lines DF-699T.B (WiCell) and IISH3i-CB6 (WiCell). Undifferentiated hiPSC lines were maintained on Matrigel (BD Biosciences)-coated six-well tissue culture plates in mTeSR1 serum-free medium (STEMCELL Technologies). The cells were passaged at a 1:4 split ratio every 5 days by mechanical dissociation and the medium was replaced daily.
Hematopoietic differentiation and knockdown of ER-α transcript using siRNA
For hematopoietic differentiation of hiPSCs through embryoid body (EB) formation, confluent undifferentiated hiPSCs were scraped off and transferred to Ultra-Low attachment plate (Corning). The hiPSC clumps were incubated overnight in EB differentiation medium [Knock-out-Dulbecco’s modified Eagle’s medium (KO-DMEM) supplemented with 20 % fetal bovine serum (FBS, Hyclone), 1 mM l-glutamine, 0.1 mM β-mercaptoethanol, and 1 % non-essential amino acids]. At the next day, the medium was changed with the same EB differentiation medium supplemented with hematopoietic growth factors (hGFs): 25 ng/ml bone morphogenetic protein-4 (BMP-4), 300 ng/ml stem cell factor (SCF), 10 ng/ml interleukin-3 (IL-3), 10 ng/ml IL-6, 50 ng/ml granulocyte colony stimulating factor (G-CSF), and 300 ng/ml Flt-3L. Thereafter, the medium was changed every 3 days. All hGFs were purchased from R&D systems. To investigate the effect of E2 (Sigma) on hiPSC-derived hematopoiesis, we blocked ER signals using ER antagonist 7α,β17-[9-[(4,4,5,5,5-Pentafluoropentyl)sulfinyl]nonyl]estra-1,3,5(10)-triene-3,17-diol (ICI 182,780) at 100 ng/ml (Tocris) in EB differentiation medium. Undifferentiated hiPSCs were transfected with ON-TARGETplusSMARTpool siRNA targeting ER-α (L-003401-00-0005, Dharmacon) for 24 h according to the manufacturer’s instructions. Non-targeting siRNA (D-001910-10-50, Dharmacon) was used as a negative control.
Flow cytometry analysis
EBs were dissociated with Collagenase IV in 37 °C and 5 % CO2 for 2 h. Single cell suspension from dissociated EBs was resuspended in 3 % FBS-PBS. The cell were passed through a 70 μm cell strainer and incubated at 4 °C for 1 h with the following fluorochrome-conjugated mouse anti-human antibodies: CD31-PE, CD34-FITC, CD45-APC, CD235a-PE, and CD71-APC (all BD Biosciences) or their corresponding isotype controls. Anti-OCT4 (BD Biosciences) and anti-ER-α (Santa Cruz) staining was identified using Alexa 488- and 647-conjugated goat anti-mouse IgG (Invitrogen). After washing with 3 % FBS-PBS, the cells were stained with 7-amino actinomycin to exclude dead cells. Flow analysis was performed on a FACSCanto II running BD FACSDiva™ (BD Biosciences) and acquired data were analyzed using FlowJo version 10 (Tree Star, Inc.).
Colony forming unit (CFU) assay
CFU assay was performed as previously described . Briefly, 10,000 cells dissociated from EBs were plated into methylcellulose H4230 (STEMCELL Technologies) supplemented with 50 ng/ml SCF, 10 ng/ml GM-CSF, 10 ng/ml IL-3, and 3 units/ml erythropoietin. Hematopoietic cell clusters were counted on the basis of morphology after incubation for 10–14 days.
Generation of hemangioblast and measurement of colony forming capability
Hemangioblasts were generated as previously described . Briefly, 2 × 105 hiPSCs were plated on Ultra-Low attachment plate in Stemline II medium (Sigma) containing BMP-4 (50 ng/ml) and VEGF (50 ng/ml) and incubated them for 48 h. Then, the half of the medium was replaced with the medium supplemented with BMP-4 (50 ng/ml), VEGF (50 ng/ml), SCF (20 ng/ml), thrombopoietin (20 ng/ml), and Flt-3L (20 ng/ml). After 3.5 days, the EBs were dissociated with 0.05 % trypsin–EDTA for 5 min and filtered through a 40 μm cell strainer. To expand hemangioblasts, the cells were resuspended in blast growth medium alone or supplementation of E2, propyl pyrazole triol (PPT, 100 nM) and diarylpropionitrile (DPN, 100 nM) and then incubated for 4–6 days. After 4–6 days, grape-like blast colonies were observed and counted in each culture condition. In order to assess colony-forming capability of blasts grown in each condition, blasts were resuspended in Stemline II medium and mixed with methylcellulose H4436 (STEMCELL Technologies). Then, cells were plated into a 12-well non-tissue culture plate. Hematopoietic cell clusters were counted on the basis of morphology after incubation for 15 days.
Harvest of hematopoietic progenitors from human umbilical cord bloods (hUCBs)
Human UCB samples were obtained from normal full-term deliveries by Caesarian section at the Kangwon National University Hospital with the Kangwon National University Hospital Institutional Review Board (KNUH-IRB)-approved (IRB approved number: KNUH-2012-11-003-008) written consent from the patients. Mononuclear cells (MNCs) were isolated using Ficoll-Paque Plue (Pharmacia Biotech) and then resuspended in 1 % FBS-PBS. Hematopoietic progenitors expressing CD34+ antigen were enriched from MNCs by negative selection using StemSep isolation system (STEMCELL Technologies) according to the manufacturer’s instructions.
For immunofluorescence staining, undifferentiated hiPSCs and hemangioblast were fixed with 4 % paraformaldehyde for 10 min and then permeabilized with 0.5 % saponin in PBS. The cells were blocked with 10 % normal goat serum (Sigma) for 30 min at room temperature. The cells were then incubated with the following primary anti-human antibodies overnight at 4 °C: OCT4 (BD Biosciences), ER-α (Santa Cruz), and CD144 (BD Biosciences). The cells were washed twice with PBS and incubated with fluorochrome-conjugated secondary antibodies for 1 h at room temperature. The nuclei were counterstained with DAPI (Sigma) for 5 min. Fluorescent images were visualized with a fluorescence microscope (IX-71, Olympus).
Values for all measurements are presented as mean ± SD. Comparisons for all experiments were performed with Student’s t test. Significance levels were set at p < 0.05.
HRK, JHL, HRH, SRY, KSH, ETH, and WSP performed the experiments, designed the research and helped with data analysis. HS and SHH designed the research and wrote the manuscript. All authors read and approved the final manuscript.
This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2013K1A3A1A20046548), the Ministry of Science, ICT & Future Planning (2015R1A4A1038666) and 2014 Research Grant from Kangwon National University (120141491).
The authors declare that they have no competing interests.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Findlay JK, et al. Estrogen signaling in the regulation of female reproductive functions. Handb Exp Pharmacol. 2010;198:29–35.View ArticlePubMedGoogle Scholar
- Hess RA. Estrogen in the adult male reproductive tract: a review. Reprod Biol Endocrinol. 2003;1:52.View ArticlePubMedPubMed CentralGoogle Scholar
- Hall JM, Couse JF, Korach KS. The multifaceted mechanisms of estradiol and estrogen receptor signaling. J Biol Chem. 2001;276(40):36869–72.View ArticlePubMedGoogle Scholar
- Nilsson S, Gustafsson JA. Estrogen receptor action. Crit Rev Eukaryot Gene Expr. 2002;12(4):237–57.View ArticlePubMedGoogle Scholar
- Heo HR, et al. Hormonal regulation of hematopoietic stem cells and their niche: a focus on estrogen. Int J Stem Cells. 2015;8(1):18–23.View ArticlePubMedPubMed CentralGoogle Scholar
- Hong SH, et al. Expression of estrogen receptor-alpha and -beta, glucocorticoid receptor, and progesterone receptor genes in human embryonic stem cells and embryoid bodies. Mol Cells. 2004;18(3):320–5.PubMedGoogle Scholar
- Ray R, et al. Sex steroids and stem cell function. Mol Med. 2008;14(7–8):493–501.PubMedPubMed CentralGoogle Scholar
- Nakada D, et al. Oestrogen increases haematopoietic stem-cell self-renewal in females and during pregnancy. Nature. 2014;505(7484):555–8.View ArticlePubMedPubMed CentralGoogle Scholar
- Kimbrel EA, Lanza R. Current status of pluripotent stem cells: moving the first therapies to the clinic. Nat Rev Drug Discov. 2015;14(10):681–92.View ArticlePubMedGoogle Scholar
- Cerdan C, Bhatia M. Novel roles for Notch, Wnt and Hedgehog in hematopoesis derived from human pluripotent stem cells. Int J Dev Biol. 2010;54(6–7):955–63.View ArticlePubMedGoogle Scholar
- Orkin SH, Zon LI. Hematopoiesis: an evolving paradigm for stem cell biology. Cell. 2008;132(4):631–44.View ArticlePubMedPubMed CentralGoogle Scholar
- Hong SH, Kim KS, Oh IH. Concise review: exploring miRNAs–toward a better understanding of hematopoiesis. Stem Cells. 2015;33(1):1–7.View ArticlePubMedGoogle Scholar
- Lee JB, et al. Notch-HES1 signaling axis controls hemato-endothelial fate decisions of human embryonic and induced pluripotent stem cells. Blood. 2013;122(7):1162–73.View ArticlePubMedGoogle Scholar
- Vijayaragavan K, et al. Noncanonical Wnt signaling orchestrates early developmental events toward hematopoietic cell fate from human embryonic stem cells. Cell Stem Cell. 2009;4(3):248–62.View ArticlePubMedPubMed CentralGoogle Scholar
- Hong SH, et al. ID1 and ID3 represent conserved negative regulators of human embryonic and induced pluripotent stem cell hematopoiesis. J Cell Sci. 2011;124(Pt 9):1445–52.View ArticlePubMedGoogle Scholar
- Chalfant M, Bernd KK. 17beta-Estradiol alters rat type-II alveolar cell recovery from high levels of ozone. PLoS ONE. 2014;9(3):e90530.View ArticlePubMedPubMed CentralGoogle Scholar
- Chakrabarti S, Davidge ST. High glucose-induced oxidative stress alters estrogen effects on ERalpha and ERbeta in human endothelial cells: reversal by AMPK activator. J Steroid Biochem Mol Biol. 2009;117(4–5):99–106.View ArticlePubMedGoogle Scholar
- Kennedy M, et al. Development of the hemangioblast defines the onset of hematopoiesis in human ES cell differentiation cultures. Blood. 2007;109(7):2679–87.PubMedPubMed CentralGoogle Scholar
- Lu SJ, et al. Generation of functional hemangioblasts from human embryonic stem cells. Nat Methods. 2007;4(6):501–9.View ArticlePubMedPubMed CentralGoogle Scholar
- Qiu X, et al. Oestrogen-deficiency inducing haematopoiesis dysfunction via reduction in haematopoietic stem cells and haematopoietic growth factors in rats. Int J Exp Pathol. 2012;93(3):179–87.View ArticlePubMedPubMed CentralGoogle Scholar
- Illing A, et al. Estradiol increases hematopoietic stem and progenitor cells independent of its actions on bone. Haematologica. 2012;97(8):1131–5.View ArticlePubMedPubMed CentralGoogle Scholar
- Sanchez-Aguilera A, et al. Estrogen signaling selectively induces apoptosis of hematopoietic progenitors and myeloid neoplasms without harming steady-state hematopoiesis. Cell Stem Cell. 2014;15(6):791–804.View ArticlePubMedGoogle Scholar
- Min IM, et al. The transcription factor EGR1 controls both the proliferation and localization of hematopoietic stem cells. Cell Stem Cell. 2008;2(4):380–91.View ArticlePubMedGoogle Scholar
- Guo B, et al. Expression, regulation and function of Egr1 during implantation and decidualization in mice. Cell Cycle. 2014;13(16):2626–40.View ArticlePubMedPubMed CentralGoogle Scholar
- Kim HR, et al. Egr1 is rapidly and transiently induced by estrogen and bisphenol A via activation of nuclear estrogen receptor-dependent ERK1/2 pathway in the uterus. Reprod Toxicol. 2014;50:60–7.View ArticlePubMedGoogle Scholar
- Liang XH, et al. Egr1 protein acts downstream of estrogen-leukemia inhibitory factor (LIF)-STAT3 pathway and plays a role during implantation through targeting Wnt4. J Biol Chem. 2014;289(34):23534–45.View ArticlePubMedPubMed CentralGoogle Scholar
- Edling CE, Hallberg B. c-Kit–a hematopoietic cell essential receptor tyrosine kinase. Int J Biochem Cell Biol. 2007;39(11):1995–8.View ArticlePubMedGoogle Scholar
- Hong SH, et al. Cell fate potential of human pluripotent stem cells is encoded by histone modifications. Cell Stem Cell. 2011;9(1):24–36.View ArticlePubMedGoogle Scholar
- Gluckman E, et al. Factors associated with outcomes of unrelated cord blood transplant: guidelines for donor choice. Exp Hematol. 2004;32(4):397–407.View ArticlePubMedGoogle Scholar
- Migliaccio AR, et al. Cell dose and speed of engraftment in placental/umbilical cord blood transplantation: graft progenitor cell content is a better predictor than nucleated cell quantity. Blood. 2000;96(8):2717–22.PubMedGoogle Scholar
- Yuan Y, et al. Ex vivo amplification of human hematopoietic stem and progenitor cells in an alginate three-dimensional culture system. Int J Lab Hematol. 2011;33(5):516–25.PubMedGoogle Scholar
- Hong SH, et al. Multiparameter comparisons of embryoid body differentiation toward human stem cell applications. Stem Cell Res. 2010;5(2):120–30.View ArticlePubMedGoogle Scholar