Generation of iPSCs and maintenance
First, transgenic mice expressing monomeric red fluorescent protein (mRFP1) under the control of Prg4 promoter were generated by injection of the transgene into the pronuclei of fertilised eggs from C57BL/6 mice (Charles River). To establish iPSCs, fibroblasts derived from Prg4-mRFP1 transgenic mice were infected with pMX-hOCT3/4, pMX-hSOX2, pMX-hKLF4, and pMX-Hu-L-MYC retroviral vectors (Addgene). The established iPSC clones were maintained in ESC medium consisting of KnockOut DMEM (Gibco), 15% foetal bovine serum (Thermo Scientific), 2 mM L-glutamine (Wako), 1% non-essential amino acids (Wako), and supplemented with 1000 units/mL human recombinant leukaemia inhibitory factor (LIF; Wako), 0.1 mM 2-mercaptoethanol (Gibco), 50 μg/mL L-ascorbic acid (Sigma-Aldrich), 50 units/mL penicillin (Wako), and 50 μg/mL streptomycin (Wako).
Maintenance of ESCs
ESCs (V6.5) were maintained in ESC medium (KnockOut DMEM containing 15% foetal bovine serum, 2 mM L-glutamine, and 1% non-essential amino acids), supplemented with 1000 units/mL LIF, 0.1 mM 2-mercaptoethanol, 50 units/mL penicillin, and 50 μg/mL streptomycin.
Teratoma formation and histological analysis
We injected iPSCs into the subcutaneous tissue of severe combined immunodeficiency (SCID) mice (Charles River). Three weeks after injection, the mice were sacrificed and teratomas were dissected, fixed in 4% paraformaldehyde overnight, and embedded in paraffin. Semi-serial sections were stained with hematoxylin and eosin (H&E).
Induction of iPSC-derived Prg4-positive cells
Before starting the induction of Prg4-positive cells, iPSCs were cultured for 4 days in iPSC maintenance medium in a humidified atmosphere with 5% CO2 at 37 ℃ until they became subconfluent. Initially, iPSCs were differentiated as embryoid bodies on 96-well plates (Nunclon Sphera; Thermo Scientific) in standard high-glucose DMEM containing 10% foetal bovine serum, penicillin, and streptomycin for 2 days. On day 2, the medium was changed to standard medium containing 9 ng/mL activin A (Peprotech) and 25 ng/mL Wnt3a (R&D) for mesoderm differentiation. On day 3, the medium was changed to standard medium containing 10 ng/mL basic fibroblast growth factor (bFGF; Wako), and the cells were cultured continuously for 2 days. On day 5, embryoid bodies were dissociated and reseeded as a monolayer on collagen-coated 6-well plates containing standard medium supplemented with 1% insulin-transferring-selenium (ITS; Gibco), 10 ng/mL transforming growth factor beta 1 (TGF-β1; Cell Signaling), and 10 ng/mL bFGF. Medium was changed every other day and differentiated cells were cultured until day 21.
Fluorescence-assisted cell sorting analysis
Prg4-mRFP1-positive cells were selected by fluorescence-activated cell sorting (FACS) on a BD FACS Aria flow cytometer (BD Biosciences). We used ESCs-derived differentiated cells as a negative control. Data were analysed with DIVA software (BD Biosciences), which identified iPSC-derived Prg4-mRFP1-positive cells as having a higher PE-Texas Red signal than negative control ESC-derived cells.
Quantitative real-time PCR
Total RNA was isolated with the RNeasy Plus Mini Kit (Qiagen) and reverse-transcribed into cDNA using the High Capacity cDNA Reverse Transcription Kit (Applied Biosystems) according to the manufacturer’s instructions. Quantitative real-time PCR (qRT-PCR) was performed using TB Green Premix Ex Taq Ⅱ (TaKaRa). The expression of target genes was normalised to that of reference genes (Actb and Gapdh) and is presented as the mean ± standard deviation based on three independent experiments. Primers used for qRT-PCR are listed in Table 1.
Injection of iPSC-derived Prg4-mRFP1-positive cells in the paratenon surrounding the Achilles tendon and knee joint of SCID mice
We injected iPSC-derived Prg4-mRFP1-positive cells at 1 × 104 cells/10 μL in phosphate-buffered saline in the paratenon surrounding the Achilles tendons and knee joints of SCID mice (Charles River). Three days after injection, the mice were sacrificed, and the Achilles tendons and knee joints were dissected and fixed in 4% paraformaldehyde overnight.
Histological analysis
All tissues were fixed in 4% paraformaldehyde overnight at 4 ℃ and embedded in paraffin. The knee joint tissues of Prg4-mRFP1 transgenic mice and SCID mice (Charles River) which were injected iPSC-derived Prg4-mRFP1-positive cells were fixed in 4% paraformaldehyde overnight at 4 ℃ and then decalcified in EDTA (G-Chelate Mild; NIPPON Genetics) for 2 weeks at 4 ℃. Semi-serial sections were stained with H&E. For immunohistochemistry, sections were stained with a rat monoclonal anti-RFP antibody (1:200, 5f8; Chromotek), anti-rat Histofine simple stain mouse MAX PO (414311; Nichirei Bioscience), and DAB substrate (K3467; DAKO). For immunofluorescence, sections were stained with an Alexa 594-conjugated anti-RFP antibody (1:2000, 150160; Abcam). Cell nuclei were stained with DAPI (1:500; Cell Signaling).
RNA-sequencing analysis
To determine their expression profile, iPSC-derived Prg4-mRFP1-positive cells sorted by FACS (#2-9) were analysed on a next-generation sequencer. A heatmap summarising the genes related to the differentiation process was generated based on markers related to myogenesis, mesoderm, macrophage-like synovial cells (MLSs), pluripotency, chondrogenesis, joint interzone, fibroblast-like synovial cells (FLSs), and SFZ cells. The obtained profiles were compared to ESC (SRS1026767 from the SRA database), mesoderm (ERR2179979 from SRA), chondrocyte (GSE92641 from the GEO database), FLSs (GSE142607 from GEO), MLSs (GSE142607 from GEO), and muscle (GSE152756 from GEO) RNA-sequencing datasets.
Statistical analysis
Statistical analysis was performed using GraphPad Prism 5 software. One-way ANOVA with Turkey’s post-test was used for statistical analysis. A P value < 0.05 was considered statistically significant. Data are presented as the mean ± standard deviation based on three independent experiments.