Indiana University-Purdue University Indianapolis (IUPUI) / Loss of the finite cochlear hair cells of the inner ear results in sensorineural deafness. Human cochlear hair cells do not regenerate, and there is no cure for deafness. Our laboratory has established a three-dimensional culture system for deriving functional sensory hair cells from human pluripotent stem cells. A major limitation of this approach is that derived hair cells exhibit a morphological and gene expression phenotype reflective of native vestibular hair cells. Previous studies have shown that establishment of localized domains of gene expression along the dorso-ventral axis of the developing otic vesicle is necessary for proper morphogenesis of both auditory and vestibular inner ear structures. Sonic hedgehog (SHH) signaling has been shown to play a key role in specification of the ventral otic vesicle and subsequent cochlear development. Here, SHH treatment was pursued as a potential strategy for inducing a patterning phenotype permissive to cochlear induction in vitro. Single-cell RNAsequencing analysis revealed that while treatment with the SHH pathway agonist Purmorphamine reduced expression of markers for the vestibular-yielding dorsal otic vesicle, upregulation of ventral otic marker genes was modest. More strikingly, the number of otic progenitors exhibiting a neuroprogenitor phenotype increased in response to Purmorphamine treatment. These results suggest that SHH pathway modulation in early-stage inner ear organoids may bias their differentiation toward a neural lineage at the expense of an epithelial lineage. The present study is the first to evaluate the patterning phenotype of human stem cell derived otic progenitors, and sheds light on the transcriptomic profile at this critical point of inner ear development. This study may also cultivate future efforts to derive cochlear cell types as well as inner ear neural cell types from human pluripotent stem cells, and contribute to the establishment of a more complete in vitro model of inner ear development. / 2021-08-21

Indiana University-Purdue University Indianapolis (IUPUI) / Retinal ganglion cells (RGCs) serve as a vital connection between the eye and the brain with damage to their axons resulting in loss of vision and/or blindness. Reti- nal organoids are three-dimensional structures derived from human pluripotent stem cells (hPSCs) which recapitulate the spatial and temporal differentiation of the retina, providing a valuable model of RGC development in vitro. The working hypothesis of these studies is that hPSC-derived RGCs are capable of extensive outgrowth and display target specificity and pathfinding abilities. Initial efforts focused on charac- terizing RGC differentiation throughout early stages of organoid development, with a clearly defined RGC layer developing in a temporally-appropriate manner express- ing a compliment of RGC-associated markers. Beyond studies of RGC development, retinal organoids may also prove useful to investigate and model the extensive axonal outgrowth necessary to reach post-synaptic targets. As such, additional efforts aimed to elucidate factors promoting axonal outgrowth. Results demonstrated significant enhancement of axonal outgrowth through modulation of both substrate composi- tion and growth factor signaling. Furthermore, RGCs possessed guidance receptors that are essential in influencing outgrowth and pathfinding. Subsequently, to de- termine target specificity, aggregates of hPSC-derived RGCs were co-cultured with explants of mouse lateral geniculate nucleus (LGN), the primary post-synaptic target of RGCs. Axonal outgrowth was enhanced in the presence of LGN, and RGCs dis- played recognition of appropriate targets, with the longest neurites projecting towards LGN explants compared to control explants or RGCs grown alone. Generated from xvii the fusion of regionally-patterned organoids, assembloids model projections between distinct regions of the nervous system. Therefore, final efforts of these studies focused upon the generation of retinocortical assembloids in order to model the long-distance outgrowth characteristic of RGCs. RGCs displayed extensive axonal outgrowth into cortical organoids, with the ability to respond to environmental cues. Collectively, these results establish retinal organoids as a valuable tool for studies of RGC develop- ment, and demonstrate the utility of organoid-derived RGCs as an effective platform to study factors influencing outgrowth as well as modeling long-distance projections and pathfinding abilities.

京都大学 / 新制・課程博士 / 博士(理学) / 甲第24458号 / 理博第4957号 / 新制||理||1708(附属図書館) / 京都大学大学院理学研究科生物科学専攻 / (主査)教授 高橋 淑子, 准教授 佐藤 ゆたか, 教授 中務 真人 / 学位規則第4条第1項該当 / Doctor of Science / Kyoto University / DGAM

京都大学 / 新制・課程博士 / 博士(医学) / 甲第24502号 / 医博第4944号 / 新制||医||1064(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 長船 健二, 教授 朝長 啓造, 教授 伊達 洋至 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

The epithelial layer of the gastrointestinal (GI) tract provides a barrier between the environment and the body. Dysfunction of the epithelium, including changes of the innate immune response facilitated by pattern recognition receptors (PRRs), plays a major role in the development of GI disorders. However, the organization of innate immune sensing, the expression and activity of PRRs and the factors contri¬buting to such possible organization along the GI tract are unclear. In recent years, stem cell-derived organoids gained increasing attention as promising tissue models. Here, a biobank of human and murine organoids comprising three lines from each GI segment; corpus, pylorus, duodenum, jejunum, ileum, colon was generated. RNA sequencing of 42 lines confirmed the preservation of tissue identity and revealed an extensive organization of innate immune signaling components along the cephalocaudal axis, giving each segment a specific innate immune profile. Comple-menting the region-specific expression analysis, several PRRs in human and murine organoids showed region- and species-specific function. To investigate the factors contributing to the patterning of innate immunity in the GI tract, the impact of microbial components was analyzed using murine embryo-derived, never colonized gastric and proximal intestinal organoids. Transcriptional profiling of embryo-derived organoids showed that while expression of some PRRs may depend on environmental cues as expected, an unexpectedly large part of segment-specific expression of PRR signaling components is independent of prior contact with microbial products. Further, analysis of published RNA-seq data as well as in vitro experiments using directed differentiation of organoids into specific cell types showed that expression of innate immune gene also depended on cellular differentiation along the crypt-villus axis. This underlined the importance of cellular differentiation rather than contact to microbial compounds for expression of PRRs. Lastly, analysis of published datasets of RNA-seq and ATAC-seq after knockout of the intestinal transcription factor Cdx2 demonstrated that Cdx2 is likely important for the expression of Nlrp6 and Naip1 in the murine intestine. Future experiments have to support these preliminary findings. Taken together, the expression of a large part of epithelial innate immunity is develop¬mentally defined and conserved in tissue-resident stem cells. The identification of mechanisms governing expression of genes related to immunity will provide further insights into the mechanisms that play a role in the progress of inflammatory diseases. / Das Epithel des gastrointestinalen (GI) Traktes fungiert als Barriere zwischen der Umwelt und dem Körperinneren. Störungen des Epithels, darunter Veränderungen in der angeborenen Immunantwort, welche über „Pattern Recognition Receptors“(PRRs) ermöglicht wird, spielen eine bedeutende Rolle in der Entstehung gastrointestinaler Krankheiten. Auf welche Weise die angeborene Immunantwort im gastrointestinalen Trakt zwischen symbiotischen und schädlichen Mikroben unterscheidet, wie die Expression und Aktivität von PRRs organisiert sind, und die Faktoren die zu einer möglichen Organization beitragen sind bisher allerdings nicht bekannt. In den letzten Jahren haben aus Stammzellen gewonnene Organoide als vielversprechende Gewebemodelle steigende Aufmerksamkeit erregt. In dieser Arbeit wurde eine „Biobank“ humaner und muriner Organoide, jeweils bestehend aus 3 Linien jedes der gastrointestinalen Segmente Korpus, Pylorus, Duodenum, Jejunum, Ileum und Kolon generiert. Die RNA Sequenzierung von 42 Linien bestätigte den Erhalt der Gewebsidentität und zeigte eine umfangreiche Organization innerhalb der Signalkomponenten des angeborenen Immunsystems entlang der kraniokaudalen Achse, wodurch jedes Segment ein spezifisches Immunprofil erhält. Ergänzend zur regions-spezifischen Expressionsanalyse zeigten einige PRRs sowohl in humanen als auch in murinen Organoiden eine regions- und spezies-spezifische Funktion. Zur Untersuchung der Faktoren, die zur Strukturierung des angeborenen Immunsystems im GI-Trakt beitragen, wurde der Einfluss mikrobieller Komponenten untersucht. Hierfür wurden aus embryonalem Gewebe gewonnene Organoide des Magens und des proximalen Dünndarms verwendet, welche noch nicht mit dem Mikrobiom in Kontakt waren. Transkriptionsprofile embryonaler Organoide zeigten, dass die Expression einiger PRRs wie erwartet wahrscheinlich von Umweltfaktoren abhängt, dass ein unerwartet großer Anteil der segment-spezifischen Expression von Komponenten der PRR-induzierten Signalwege sich allerdings unabhängig vom Kontakt mit mikrobiellen Komponenten entwickelt. Des Weiteren zeigte die Analyse von bereits publizierten RNA Sequenzierungsdaten und in vitro Experimenten bei denen durch gezielte Differenzierung von Organoiden spezifische Zelltypen generiert wurden, dass die Expression von Genen des angeborenen Immunsystems auch von der zellulären Differenzierung entlang der Krypten-Zotten-Achse abhängt. Dies unterstreicht die Bedeutung von zellulärer Differenzierung für die Expression von PRRs, anstelle des Kontaktes zu mikrobiellen Komponenten. Auch konnte durch die Analyse bereits publizierter RNA- und ATAC-Sequenzierungsdaten nach knockout des im Dünndarm exprimierten Transkriptionsfaktors Cdx2 nachgewiesen werden, dass Cdx2 mit hoher Wahrscheinlichkeit wichtig für die Expression von Nlrp6 und Naip1 im murinen Dünndarm ist. Diese Erkenntnisse müssen in zukünftigen Experimenten validiert werden. Zusammengenommen zeigen die Ergebnisse, dass die Expression eines Großteils der angeborenen Immunität entwicklungsbiologisch festgelegt und in gewebe-spezifischen Stammzellen konserviert ist. Die zukünftige Identifikation von Mechanismen die die Expression von zur Immunität zugehörigen Genen steuern, wird weitere Erkenntnisse über die Mechanismen die eine Rolle in der Entwicklung entzündlicher Erkrankungen spielen bringen.

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Trotz der breiten Anwendung zielgerichteter Therapien und Immuncheckpoint-Inhibitoren, liegt die 5-Jahres-Überlebensrate beim metastasierten klarzelligen Nierenkarzinom (ccRCC) unter 15%. Um den Therapieerfolg für Patienten zu verbessern, werden neue Modelle benötigt, die die Tumorheterogenität rekapitulieren und eine personalisierte Therapieentwicklung ermöglichen. Im ersten Teil dieser Doktorarbeit habe ich Organoidkulturen direkt aus Patiententumoren und sortierten Krebsstammzellen (CSCs) etabliert und diese Organoide im Detail charakterisiert. Die Rolle von WNT und NOTCH, die zuvor in ccRCC CSCs bestimmt wurde, wurde in Organoiden bestätigt und konnte mit Hilfe von molekularen Inhibitoren als therapeutische Schwachstelle ausgenutzt werden. Diese Ergebnisse heben das Potenzial von Patienten-abgeleiteten Organoiden (PDOs) für die personalisierte Medizin und das Potenzial von WNT und NOTCH Inhibierung in der ccRCC Behandlung hervor. PDOs stellen Werkzeuge für die personalisierte Medizin dar, geben jedoch wenig Einblick in die frühen Stufen der Tumorentstehung. Deshalb habe ich im zweiten Teil meiner Dissertation VHL, PBRM1 und SETD2 – die drei am häufigsten mutierten Gene in ccRCC – mit einer induzierbaren CRISPR-Cas9 Strategie in induzierten pluripotenten Stammzellen (iPSC)-abgeleiteten Nierenorganoiden targetiert. Ich differenzierte iPSCs in nierenspezifische Zelltypen aus sowohl metanephrischem Mesenchym als auch Ureterknospen-Epithelium. Knockout von VHL, PBRM1 und SETD2 führte zur Hochregulation von Hypoxie-induzierbaren Genen in Organoiden und Knockout Effekte konnten durch längere Kultivierungszeiten und Zellselektion via FACS verstärkt werden. Obwohl ccRCC-spezifische Signalwege aktiviert wurden, wurde kein Wachstumsvorteil der transformierten Zellen beobachtet. Dennoch stellen diese Organoide ein einzigartiges Modell dar, das auf andere Nephropathien angewendet werden könnte, um die Nieren- und Nierenkrebsforschung weiter voranzutreiben. / Despite the widespread application of targeted therapies and immune checkpoint inhibitors, the five-year survival rate for metastatic clear cell renal cell carcinoma (ccRCC) is below 15%, as unpredictable progression, therapy resistance, and tumor relapse occur. In order to improve patient outcome, novel models are needed that recapitulate tumor heterogeneity and allow for a more personalized therapy development. In the first part of my PhD thesis, I established organoid cultures directly from patient tumors and sorted cancer stem cells (CSCs) and I characterized these organoids thoroughly. The roles of WNT and NOTCH, which were previously determined in ccRCC CSCs, were confirmed in organoid cultures and could be exploited as a therapeutic weakness via small molecule inhibition. These results highlight the potential of patient-derived organoids (PDOs) for personalized therapy and further the potential of WNT and NOTCH inhibition for ccRCC treatment. PDOs present suitable tools for personalized medicine, but provide little insight into early stages of tumorigenesis. Therefore, in the second part of my thesis, I targeted VHL, PBRM1, and SETD2 – the three most frequently mutated genes in ccRCC – using an inducible CRISPR-Cas9 genome editing strategy in induced pluripotent stem cell (iPSC)-derived kidney organoids. I used a previously published protocol to differentiate iPSCs into kidney-specific cells originating from both metanephric mesenchyme and ureteric bud epithelium. Knockout of VHL, PBRM1, and SETD2 led to the upregulation of hypoxia-inducible genes in organoids and knockout effects could be enhanced by longer cultivation times and cell selection through FACS. Although ccRCC-specific signaling pathways were activated, a growth advantage of transformed cells was not observed. Nevertheless, these organoids present a unique model that could be applied to other nephropathies to further advance kidney and kidney cancer research.

The central nervous system is a complex, yet well-organised, often laminated, tissue. This robust organisation is evident in the architecture of the retina: consisting of 5 different neuronal types organised into distinct layers: Retinal Ganglion Cell (RGC), Amacrine Cell (AC), Bipolar Cell (BP), Horizontal Cell (HC) and Photoreceptor cell (PR) layers. This remarkable organisation is evolutionarily conserved in vertebrates, yet little is known about the mechanisms by which these cells form the correct layers. Live imaging has revealed overlapping periods of birth and extensive inter-digitation followed by cells sorting out into their appropriate positions, suggesting cell-cell interactions are important. To investigate possible cellular and molecular mechanisms responsible for the establishment of the tissue architecture I developed an organoid culture system for zebrafish retinal cells. To identify the cells in culture I used a Spectrum of Fates fish line which is a multiply transgenic line in which each retinal cell type can be identified based on expression of a combination of fluorescently tagged cell fate markers. The development of the protocol by which I cultured the cells and observed their cell-cell interactions involved establishing the best methods to dissociate and culture zebrafish retinal cells in a non-adhesive environment, then imaging the resulting reaggregates to examine the position of the different retinal cell types. By doing this I observed their inherent self-organising properties, in the absence of extrinsic cues or scaffolds. These cells appeared to be arranged in an inside-out layering, although all cell types are layered in the same relative order as they are in vivo. To analyse the organization in these aggregates I developed a Matlab script in collaboration with Leila Muresan which analyses the relative positioning of cells in concentric rings from the periphery to the centre of the aggregates according to the cell fate-tagged fluorescent markers. The script then fits this data as an empirical cumulative distribution function for different groups of cells to determine how spatially distinct populations of cells are. This gave me my measure of organisation. I then investigated the cell-cell interactions involved in this self-organisation by genetically or pharmacologically removing individual cell types and assaying the resulting organisation of the reaggregated, cell-type deficient, retinal organoids. I revealed that Müller Glia are important for retinal cell self-organisation. I also investigated the role of Retinal Pigment Epithelial (RPE) cells and Retinal Ganglion Cells and found they had no impact on the ability of the remaining cell types to organize. I began to investigate the role of Amacrine Cells but found that retinas void of ACs were susceptible to disaggregating in our dissection setup, preventing me from collecting the material needed for culture. I also investigated the role of candidate molecules in this system and revealed that R-Cognin is critical for retinal cells to reaggregate. Not only can I remove cells or molecules from the system, but I show how it can also be manipulated to replace molecules of interest such as laminin, by coating beads with the substance of choice and placing it amongst the cells to see if their organisational behaviour is affected. In summary, I have developed a system which provides a simple and easy platform to manipulate in various ways to help us potentially reveal some of the important players in neuronal patterning.

The intestinal epithelium represents one of the most actively renewing tissues in the body, and is widely used as a model system to study epithelial cell biology. ASPP2, a member of the ASPP (apoptosis stimulating protein of p53) protein family, has been shown to act as a regulator of epithelial cell polarity and tumour suppressor. This study investigated whether the dual function of ASPP2 is involved in the regulation of intestinal homeostasis and tumourigenesis, with a particular interest in the distinction between epithelial cell autonomous and non-autonomous mechanisms. Germline and intestinal epithelial cell-specific ASPP2 conditional knockout mice were employed in this study. Deficiency of ASPP2 in the intestinal epithelium resulted in delayed recovery from dextran sulfate sodium (DSS)-induced acute colitis, concurrent with a reduction in the expression of proinflammatory cytokines such as interleukin (IL)-1β and IL-6. Moreover, ASPP2-deficient mice showed increased susceptibility to Azoxymethane/DSS-induced colorectal tumourigenesis. While wild-type and ASPP2-deficient crypts showed similar incidence of tumour formation, the local immune microenvironment of ASPP2-deficient mice favoured tumour progression. The intestinal organoid culture was established to supplement in vivo experiments. The feasibility of the system was demonstrated with small intestinal organoids, in the context of proliferation, differentiation, and cell death. Using the established workflow, a colonic organoid-based tissue regeneration model was developed. The intrinsic susceptibility of organoids to DSS-induced cell death was not affected by the loss of ASPP2. However, ASPP2-deficient colonic organoids were less responsive to the pro-proliferative effects of IL-6, but were more sensitive to tumour necrosis factor-α-induced cell death in the presence of IL-22. In conclusion, this project undertook parallel examinations of animal models and organoids, demonstrating that a deficiency of ASPP2 in the intestinal epithelium results in dysregulated epithelial-immune cell interactions. This may partially explain the pathological conditions observed in ASPP2-deficient mice. Importantly, this study highlights the possibility of using organoids to investigate epithelial cell non-autonomous factors implicated in intestinal pathogenesis.