Efficient Generation of Induced Pluripotent Stem and Neural Progenitor Cells From Acutely Harvested Dura Mater Obtained During Ventriculoperitoneal Shunt Surgery

World Neurosurg. 2015 Nov;84(5):1256-66.e1. doi: 10.1016/j.wneu.2015.05.076. Epub 2015 Jun 11.

Abstract

Background: The dura mater can be easily biopsied during most cranial neurosurgical operations. We describe a protocol that allows for robust generation of induced pluripotent stem cells (iPSCs) and neural progenitors from acutely harvested dura mater.

Objective: To generate iPSCs and neural progenitor cells from dura mater obtained during ventriculoperitoneal shunt surgery.

Methods: Dura was obtained during ventriculoperitoneal shunt surgery for normal pressure hydrocephalus from a 60-year-old patient with severe cognitive impairment. Fibroblasts were isolated from the dural matrix and transduced with nonintegrating Sendai virus for iPSC induction. A subset of successfully generated iPSC clones underwent immunocytochemical analysis, teratoma assay, karyotyping, and targeted neural differentiation.

Results: Eleven iPSC clones were obtained from the transduction of an estimated 600,000 dural fibroblasts after 3 passages. Three clones underwent immunocytochemical analysis and were shown to express the transcription factors OCT-4, SOX2, and the embryonic cell markers SSEA-4, TRA-1-60, and Nanog. Two clones were tested for pluripotency and formed teratomas at the injection site in immunodeficient mice. Three clones underwent chromosomal analysis and were found to have a normal metaphase spread and karyotype. One clone underwent targeted neural differentiation and formed neural rosettes as well as TuJ1/SOX1-positive neural progenitor cells.

Conclusions: IPSCs and neural progenitor cells can be efficiently derived from the dura of patients who need to undergo cranial neurosurgical operations. IPSCs were obtained with a nonintegrating virus and exhibited a normal karyotype, making them candidates for future autotransplantation after targeted differentiation to treat functional deficits.

Keywords: Dura; Fibroblast; Induced pluripotent stem cell; Neural progenitor cell; Regenerative medicine; Shunt surgery.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Differentiation
  • Cellular Reprogramming
  • Clone Cells
  • Cognition Disorders / etiology
  • Dura Mater / cytology*
  • Dura Mater / surgery
  • Fibroblasts
  • Humans
  • Hydrocephalus, Normal Pressure / surgery
  • Induced Pluripotent Stem Cells* / metabolism
  • Karyotyping
  • Male
  • Mice
  • Middle Aged
  • Neural Stem Cells* / metabolism
  • Sendai virus
  • Teratoma / pathology
  • Transcription Factors / metabolism
  • Ventriculoperitoneal Shunt*

Substances

  • Transcription Factors